Prior Authorization Specialist

Job not on LinkedIn

🔥 14 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Determine whether payer authorization is required for pre-registered outpatient diagnostic and surgical services • Escalate cases without authorization or referral to the scheduling physician for approval or clinical data • Submit authorization requests by phone or online to obtain approval for requested services • Gather and submit clinical data requested by insurance companies • Complete the first-pass medical necessity check when needed • Follow up with physician offices to obtain additional diagnoses and revised scripts when the medical necessity check fails • Follow up with patients when needed • Follow client scripting guidelines for patient and physician outreach in compliance with HIPAA and patient satisfaction standards • Meet or exceed productivity guidelines • Perform other duties as assigned

🎯 Requirements

• High School Diploma or GED equivalent • Healthcare experience and familiarity with medical terminology • Knowledge of multiple specialty and prior authorization processes preferred • Knowledge of revenue cycle process • Ability to handle multiple priorities to ensure timeliness of all deliverables • Basic computer skills • Familiarity with insurance carrier websites and processes, including claim resolution requirements • Ability to work effectively in a remote environment • Regular eye-hand coordination and manual dexterity • Ability to perform work at a computer terminal for 6–8 hours a day • Ability to function in an environment with constant interruptions • Ability to sit for prolonged periods • Ability to lift and move material weighing up to 20 lbs. infrequently

🏖️ Benefits

• Professional development and personal growth opportunities • Remote work arrangement