Description:

The role of the Prior Auth Coordinator is to promptly, efficiently and accurately execute all aspects of

the referral process. Facilitating the right care at the right time in the right setting. Process requests

from Access Express that are pended or reprocess approved or denied auths and package properly for

review and resolution. Check eligibility and benefits on all DME and home health authorizations prior

to forwarding on request to prior authorization nurse or medical director for approval. Capture any

leakage and provide feedback to the leadership team for additional training. Maintain turnaround time

compliance in all aspects of the Prior Authorization process. Promote the quality and cost effectiveness

of medical care through strict adherence to all UM Policy and procedure.

Skills:

insurance verification, prior authorization, customer service call center, Utilization Management, Managed care, data entry

Top Skills Details:

insurance verification,prior authorization,customer service call center

Additional Skills & Qualifications:

1. High School graduate required

2. 1-2 years IPA or Medical office experience

3. Experience with prior authorization process strongly preferred.

4. Knowledge of Healthcare and Managed Care preferred

5. Proficient in MS Office programs (i.e. Word, Excel, Outlook, Access and PowerPoint).

6. Ability to operate PC based software programs or data base management systems

7. Proficient with turnaround time compliance in all aspects of the PA Process

8. Must possess strong organizational skills and be detail oriented.

9. Knowledge of computers, faxes, printers and all other equipment.

10. Ability to multi-task and meet turnaround times

11. Ability to deal with responsibility with confidential matters.

12. Ability to work in a multi-task,

Experience Level:

Intermediate Leve

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About the Company:
TEKsystems

About TEKsystems:

• We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
• The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Company Size:
5,000 to 9,999 employees

Industry:
Staffing/Employment Agencies

Founded:
0

Website:
https://www.teksystems.com/en/