Prior Authorization Specialist Apply
Randstad has an immediate opening for a remote prior authorization specialist.
100% Remote. Training (4 weeks) 8am-5pm Central Time After training, all agents MUST be able to work up until 7pm Central (no early shifts available).
This position primarily handles outbound call queues for designated clients related to authorization processing for multiple medical specialties and products. This may include notification calls to ordering physicians, imaging facilities and members, as well as other benefit related calls. This position is held accountable for meeting individual productivity and quality metrics and working with a team to meet compliance and timeliness targets for our clients. This role is cross trained in inbound functions and provides back up support to Customer Care Associates as required.
salary: $16 - $17 per hour
shift: First
work hours: 8 AM - 7 PM
education: High School
Responsibilities
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).
This posting is open for thirty (30) days.
100% Remote. Training (4 weeks) 8am-5pm Central Time After training, all agents MUST be able to work up until 7pm Central (no early shifts available).
This position primarily handles outbound call queues for designated clients related to authorization processing for multiple medical specialties and products. This may include notification calls to ordering physicians, imaging facilities and members, as well as other benefit related calls. This position is held accountable for meeting individual productivity and quality metrics and working with a team to meet compliance and timeliness targets for our clients. This role is cross trained in inbound functions and provides back up support to Customer Care Associates as required.
salary: $16 - $17 per hour
shift: First
work hours: 8 AM - 7 PM
education: High School
Responsibilities
- Contacts referring physicians' offices, members and imaging providers via telephone to communicate authorization approvals, denials and appeals information for a wide range of medical products, while maintaining confidentiality.
- Recognizes the compliance and regulatory requirements for each health plan and each medical product and assures actions meet these requirements.
- Contacts referring physicians' offices via telephone to verify authorization information, obtain additional clinical information or facilitate a peer-to-peer consultation between ordering physician and a SBU Physician Reviewer.
- Documents every outreach call with appropriate actions and notes to support contracted and compliance requirements and clarity about each interaction or attempt to interact.
- Makes outbound calls to members to support SBU's Facility Scheduling Program.
- Understands the end-to-end authorization process, SBU's business and business drivers for success.
- Outlook
- Call Center
- Customer support
- Medical insurance
- Years of experience: 3 years
- Experience level: Experienced
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).
This posting is open for thirty (30) days.
