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Randstad

Pre-authorization specialist

Randstad, Columbia, Maryland, United States, 21046


Are you looking for the next steps in your Healthcare career? Take that first one by applying to be a Pre-Authorization Specialist. If you have a positive, professional demeanor and have previous experience submitting and managing preauthorizations, this opportunity is perfect for you! The ideal candidate has previous experience in a healthcare setting reviewing clinical notes and managing denials.

salary: $20 - $25 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High School

Responsibilities

Receive requests: Receive requests for prior authorizations through the electronic health record (EHR), phone, or faxVerify insurance: Verify the patient's insurance coverage and benefits, and confirm procedure coverageSubmit records: Submit medical records to insurance carriers and clinical information to third party payersCommunicate: Manage correspondence with insurance companies, physicians, specialists, and patientsTrack progress: Track the status of prior authorization requests from initial submission through final insurance determinationDocument: Document account activity using correct medical and billing codesFollow up: Follow up on missing or incorrect informationAppeal: Appeal insurance companies after prior authorization refusals

Skills

Verbal CommunicationConfidentialityResponsivenessHIPAAFilingWritten Communication

Qualifications

Years of experience: 1 yearExperience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

Applications accepted on ongoing basis until filled.