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Non-Clinical - Health and Information Management - Healthcare Authorization Specialist

vTech Solution
San Diego, CA Full Time
POSTED ON 2/12/2025
AVAILABLE BEFORE 4/28/2025
  • Candidate must be in PST time zone
  • Candidates in CST, MST or EST time zones will NOT be considered for this role
  • Requirements : - High School Diploma, GED or Equivalent - Minimum 1 year of prior authorization experience -Experience submitting authorizations to the payors. - Minimum 1 year of processing and obtaining prior authorization requests for services rendered - Must have knowledge with both HMO and PPO plans for prior authorization - Experience with EMR such as EPIC - Have a fully functioning laptop or desktop computer -Knowledge of submitting authorizations to insurance companies
  • The position will be working in Genetics
  • Schedule information : - 5x8 Days, 08 : 00-16 : 30 PDT - 100% REMOTE POSITION Job Summary : Under general supervision this person is responsible for ensuring that insurance benefits are verified, patient responsibility estimates are calculated and communicated to the patient and / or family, and authorization is secured timely for all assigned service types. The incumbent is responsible for being a specialist in their area for internal and external customer inquiries, as well as supporting various communication needs as required. Performs other duties as assigned.
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