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Our dynamic and growing healthcare organization is committed to providing high-quality medical services to our patients. We're seeking a skilled and detail-oriented Prior Authorization Specialist to join our team and play a crucial role in ensuring smooth healthcare operations.
Responsibilities:
• Review and process prior authorization requests from medical providers, ensuring all necessary documentation is complete and accurate.
• Communicate with insurance companies, medical providers, and patients to gather required information and resolve any discrepancies.
• Collaborate with healthcare professionals to ensure compliance with insurance guidelines and regulations.
• Maintain thorough and up-to-date knowledge of insurance policies, coding, and billing requirements.
• Document all authorization activities accurately and maintain organized records for auditing purposes.
• Assist in training and educating staff on prior authorization processes and best practices.
• Identify opportunities for process improvement and contribute to enhancing overall efficiency.
Qualifications:
• Proven experience as a Prior Authorization Specialist or similar role in a healthcare setting.
• Strong understanding of medical terminology, CPT and ICD-10 codes, and insurance procedures.
• Excellent communication skills, both written and verbal, for effective interactions with team members, providers, and insurance representatives.
• Detail-oriented with the ability to analyze complex information and make informed decisions.
• Proficiency in using EHR/EMR software. EPIC highly preferred
• Exceptional organizational skills and ability to manage multiple tasks simultaneously.
• Understanding of HIPAA regulations and commitment to maintaining patient confidentiality.
• High school diploma or equivalent
Details:
• Schedule: Monday – Friday | 8-hour shift within the hours of operation (8:00am - 5:00pm)
• Pay: $19 - $21/hr. based on related experience
• Pay Cycle – Weekly | Medical, Dental & Vision Benefits offered
• This position requires employees to work onsite 5 days per week.
Pay and Benefits
The pay range for this position is $19.00 - $21.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Wallingford,CT.
Application Deadline
This position is anticipated to close on Apr 2, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.