Prior Authorization Specialist - San Antonio Texas

Company: VirtualVocations
Location: San Antonio, Texas
Posted On: 01/21/2025

A company is looking for a Prior Authorization Specialist to support the Patient Access Onshore department in various functions related to insurance verification and prior authorization requests.



Key Responsibilities

Contact payors for eligibility and benefit information, including authorization requirements
Obtain prior authorizations and pre-certifications, and submit complete and accurate authorization requests
Follow up and resolve pending authorization requests while maintaining documentation of authorization activity


Required Qualifications

2+ years of experience in healthcare administration or prior authorization processes in orthopedics or physical/occupational therapy settings
Experience reviewing and processing prior authorization requests for medical procedures and services
Ability to collaborate with healthcare providers and payers to resolve prior authorization issues and appeals
Medical Assistant Certification or 5 years of experience in a provider's office setting processing prior authorizations is preferred but not required More...

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