Prior Authorization Specialist

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.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

Triton Medical Solutions

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2011

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Triton Medical Solutions is a Tempe-based medical billing and practice management firm that specializes in medical and dental billing, revenue cycle management, insurance and Medicare contracting, and practice management consulting. The company offers end-to-end billing services — from claim submission and denial management to payment posting and transparent reporting — along with software for full practice management, EHR integration, verification of benefits, prior authorizations, and call center solutions. Triton serves physician and dental practices with customized B2B solutions aimed at increasing revenue, reducing denials, and streamlining administrative workflows while maintaining HIPAA compliance.

📋 Description

• Review procedure requests to determine required authorizations based on insurance standards • Review documentation and contact providers to supplement orders and establish medical necessity • Contact physician offices, customer service departments, and insurance carriers to resolve missing information and obtain prior authorizations • Submit authorizations using correct CPT and diagnosis codes • Review denied prior authorizations and take corrective action • Maintain up-to-date information on insurance companies and relevant changes • Handle incoming and outgoing calls concerning clinical documents and insurance benefits • Provide quality customer service to clients • Work extensively by phone with insurance companies • Collaborate cordially with the team and participate in meetings • Participate in projects and complete other tasks assigned by the Team Leader or management • Maintain confidentiality and adhere to HIPAA guidelines and regulations

🎯 Requirements

• High school diploma • 1-2 years in a customer service oriented environment preferred • 1-2 years working within the insurance industry in a provider’s office, insurance company, or company where involved with employee benefits preferred • Ability to work independently, give attention to detail, prioritize and perform several tasks together without losing concentration • Knowledge of insurance cards, medical insurance terminology, medical benefits, and CPT and ICD 9/10 coding • Ability to follow established procedures • Excellent typing and computer usage skills, including Microsoft Word and Excel proficiency • Good oral and written English communication skills • Well organized and detail-oriented • Own computer meeting the company’s IT requirements

🏖️ Benefits

• Flexible schedule • Remote work arrangement • Approximately 40 hours per week • Independent Contractor work relationship

📊 Check your resume score for this job

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

Upload Resume