Prior Authorization Specialist

🔥 5 minutes ago

🐻 Alaska – Remote

🐻 Alaska – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

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.

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Verisma

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

🏥 Healthcare

☁️ SaaS

📋 Compliance

Healthcare • SaaS • Compliance

Verisma is a healthcare technology company that provides cloud-based software and services to help healthcare organizations securely manage, exchange, and release clinical and administrative health information. Its solutions are focused on automating records workflows, ensuring regulatory compliance, and enabling secure data exchange between providers and partners.

📋 Description

• Process assigned Care Coordination Services and Health Information Management tasks accurately, efficiently, and in compliance with client protocols • Evaluate medical documents and electronically file them into patient charts • Navigate client electronic health records (EHR) software and internal systems • Handle high volumes of work while maintaining quality and accuracy • Perform data entry and typing tasks efficiently • Cross-train in multiple EHRs to provide team coverage • Follow predefined filing processes and consult documentation or supervisors when needed • Apply client protocols, Service Level Agreements, Planning Guidelines, and Target Transactions per Hour requirements • Track completed work, hourly time, and transaction counts • Complete assigned work and report variances, issues, delays, and resolution actions to management • Maintain confidentiality and follow HIPAA guidelines and procedures • Provide customer service to external customers, vendors, visitors, coworkers, and management • Attend required meetings and training • Protect sensitive data and comply with company and client compliance standards • Perform other duties as assigned to ensure effective department and company operations

🎯 Requirements

• High School Diploma or equivalent required • Experience with health information management concepts, EHRs and/or medical terminology is a plus • Proficient in managing a high-volume, fast-paced environment with accuracy • Intermediate computer skills, including Microsoft Office Suite and the ability to adapt to company-specific software • Capable of efficiently navigating multiple open programs, windows and applications • Strong attention to detail and accuracy • Must be able to perform physical tasks such as sitting, talking, hearing, using hands, reaching, standing, walking, driving, and occasionally lifting up to 25 lbs • Occasional after-hours or weekend work may be required • Ability to fulfill responsibilities in a remote capacity while ensuring access to strong/reliable internet within a designated, secure and private workspace • Must be able to work an Alaska Time Zone schedule

🏖️ Benefits

• Remote work option from a home office environment • Onsite and hybrid work options may be available • Required meetings and training