Prior Authorization Clerk

Open 57d

Working in medical call center to handle requests for authorizations. Coordinating cases for precertification and prior authorization review

Daily Responsibilities:

• Managing incoming calls or incoming post services claims work

• ID and data entry of referral requests into the UM system in accordance with the plan certificate

• Respond to telephone and written inquiries from clients, providers and in house departments.

• Determine contract and benefit eligibility

• Provide authorization for inpatient admission, outpatient precertification, prior authorization and post services requests.

• HS Diploma or GED

• 1 year relevant experience

• Strong analytical, written and oral communication

• Knowledge of medical terminology a must

Hours for this Position:

M-F 8:30am-5pm

Want More Information?

Interested in hearing more about this great opportunity? Reach out to Stephanie Zymowski at 407-636-7030 ext220 for immediate consideration.

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