Friday, 13 July 2012

Prior Authorization Specialist

Details: Duties:•Develop and manage tracking system of member insurance coverage, prior authorizations, timelines and renewals. •Coordinate with ASO Claims and Billing staff to ensure services are being processed correctly. •Develop & manage Payer communication process during appeal or denial of prior authorization.•Other duties as assigned.Requirements:  High school diploma and/or combination of education, training and experience to reflect appropriate level of knowledge and three (3) years related experience.  Specific prior authorization/health care claims experience and proficiency in MS Office applications (Word, Excel) required

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