Prior Authorization Specialist

Adecco is assisting a local client recruiting for an Pre- Authorization specialist in the Cincinnati, Ohio area. The Pre – Authorization specialists is a temporary opportunity!
 

The Pre-Authorization specialist will be ensuring the information obtained is complete and accurate. If you meet the qualifications listed below, APPLY NOW!
 

Responsibilities for the Pre- Authorization specialist job include but are not limited to:

  • Ensures information obtained is complete and accurate. Applying acquired knowledge of medic are, Medicaid, and third-party payer requirements. /on-line eligibility systems.
  • Contacts Insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients.
  • Follows up with physician offices, financial counselors, patients and third-party payers to complete the pre-certification process.
  • Collaborates with internal departments to provide account status updates, coordinate the resolution of issues and appeal denied authorizations.
  • Educates patients, staff and providers regarding referral and authorization requirements payer coverage, eligibility guidelines, documentation requirements and insurance related changes or trends.
  • Ensures all services have prior authorizations and updates patients on their preauthorization status.
  • Notifies patient accounts staff/patient of insurance coverage lapses and self-pay patient status. May notify ordering providers if authorization/certification is denied.
  • Maintains files for referral and insurance information and enters referrals into the system.

Candidates must meet the following requirements to be considered for the Prior Authorization Specialist job:

  • Must have Prior Authorization experience
  • EPIC experience is a plus

What ‘s in this for you?

  • Pay rates starting at $12.00  per hour.
  • Weekly Pay – you receive a paycheck every week
  • Office work environment.
  • Comprehensive benefits after 1 week – medical, dental, vision, options available
  • Generous Bonus Incentives offered for referrals! For more information, ask a recruiter today!

Click on “APPLY NOW” to be considered for this Prior Authorization in Cincinnati, Ohio! You may also visit www.adeccousa.com to view other current clerical opportunities.

  • Apply with Adecco

Reference number US_EN_99_020077_384494