Prior Authorization Specialist
Company: VirtualVocations
Location: Racine
Posted on: March 12, 2025
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Job Description:
A company is looking for a Prior Authorization Specialist to
manage authorization requests for outpatient diagnostic and
surgical services.
Key Responsibilities
Determine authorization requirements and escalate cases to the
scheduling physician when necessary
Submit authorization requests and gather clinical data as required
by insurance companies
Follow up with physician offices for additional information and
ensure compliance with HIPAA standards
Required Qualifications
High School Diploma or GED equivalent
Healthcare experience and familiarity with medical terminology
Knowledge of prior authorization processes and revenue cycle
Basic computer skills and familiarity with insurance carrier
websites
Able to work effectively in a remote environment
Keywords: VirtualVocations, Racine , Prior Authorization Specialist, Other , Racine, Wisconsin
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