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Pre Authorization Specialist

Valencia, CA

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RemX Staffing is looking for a Pre-Authorization Specialist for a client in Valencia, CA! 

Position Summary: 

  • Answers incoming calls received through the toll free Pre-Authorization Support ACD and provide appropriate call/case handling.
  • Performs initial benefit verification and pre-surgical authorization for new pre-surgical cases by working closely with all payers
  • Documents case status, actions, and outcome in the Pre-Authorization Support contact management database utilizing who, what, where, when, how
  • Communicates and builds relationships with HCP offices and sales representatives in regards to all inquiries for the handling of cases, i.e., missing case information, benefits etc.
  • Responsible for notifying the appropriate internal departments based on receipt of information that department needs to be aware of including complaint handling/ adverse event notifications 
  • Utilizes customer service skills in engaging with customers, communications with Sales representatives, and working in teams in a call center environment to expedite processing of cases.

Hours: Monday through Friday 8AM - 4:30PM

Pay: $21.40/hr

Paid weekly with benefits!

**This is an 18 month contract to hire position!**

Job Requirements

  • High school diploma or equivalent required
  • 1+ year experience in Insurance Reimbursement, Customer Service or Medical Device Industry required
  • Must have basic understanding of Medicare, Medicaid, Private Payer, and Workers compensation coding, coverage, and payment as it relates to medical procedures, services, and devices
  • Must possess strong computer skills and have working knowledge of Microsoft outlook, Microsoft Word and Excel.
  • Must be able to type minimum of 45 wpm

Interested? Apply now! 

Apply Now