Insurance Verification Specialist at Randstad USA in East Greenwich, Rhode Island

Posted in Other 2 days ago.

Type: full-time





Job Description:

Join Our Dynamic Healthcare Team as a Prior Authorization Specialist!

Are you passionate about navigating the intricacies of healthcare insurance and ensuring patients receive timely medical care? We are seeking a dedicated Prior Authorization Specialist to join our team. In this role, you will be at the forefront of managing pre-authorization processes for medical procedures, verifying patient insurance coverage, and preparing essential clinical documentation.

Key Responsibilities:
  • Prior Authorization Management: Efficiently handle the process of obtaining pre-authorization for medical procedures.
  • Insurance Verification: Confirm patient insurance coverage and eligibility with precision.
  • Clinical Documentation: Prepare and manage necessary medical documentation for smooth pre-authorization.
  • Effective Communication: Liaise with insurance companies to submit requests and follow up promptly.
  • Timely Submission: Ensure all pre-authorization requests are submitted in a timely manner to avoid delays in patient care.
  • Provider Coordination: Collaborate seamlessly with medical professionals to gather required information.

Requirements:

  • High School Diploma or equivalent
  • 2 years of prior/pre authorization experience
  • Ability to work a flexible first shift, on-site, Monday - Friday

This is a temporary role, covering for a Leave of Absence.

If you are detail-oriented, have excellent communication skills, and are committed to providing exceptional support in a healthcare setting, we want to hear from you. Join us in making a difference in patient care by ensuring seamless pre-authorization processes. Apply today to be a part of our dedicated and dynamic team!
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