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Authorization Specialist

Pittsburgh, PA

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Description

RemX Staffing is looking for an Authorization Specialist for a client in Pittsburgh, PA! 

Position Summary: Works with departments and insurance companies to obtain the necessary pre- Certifications, authorizations and referrals for services ordered/scheduled.

  • Maintains a high level of understanding of insurance companies and billing authorization/referral requirements.
  • Ensures insurance carrier documentation requirements are met and authorization/referral documentation is scanned and documented in the patient’s medical record.
  • Communicates with other prior authorization/referral specialists, patient account representatives and coders to continually monitor changes in the health insurance arena.
  • Reviews and submits all follow-up authorizations, re-certifications and referrals.
  • Appeals denials and/or set-up peer to peer reviews.
  • Pre-screens appointment schedules and works 1-2 weeks out with provider schedules along with checking daily add-ons.
  • Has knowledge of online authorization sites (Availity, eviCore, OrthoNet, ect) as well handling them via phone.
  • Experience working with multiple physicians. 

Hours: Monday through Friday 8AM - 5PM

Pay: $20.30

Paid weekly with benefits! 

Job Requirements

  • High school diploma or equivalent
  • 1+ years’ work experience
  • Healthcare and / or insurance billing, prior-authorization processing or customer service preferred
  • Knowledge of the A/R process
  • Knowledge of the prior-authorization process

Interested? Apply now! 

Apply Now