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Prior Authorization Specialist
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$39k-48k (estimate)
Full Time 2 Weeks Ago
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Chicago Headache Center & Research Institute is Hiring a Prior Authorization Specialist Near Chicago, IL

Job Description

Job Description

This position involves working in a collegial environment with other motivated individuals. This person will work closely with medical providers in securing prior authorization for medications, imaging, and other treatments. 

Qualified candidate must possess:

Experience with medication prior authorizations ( CoverMyMeds ).

Experience with imaging prior authorizations (AIM, eViCore, etc.).

Experience with collecting copays.

Familiarity with medications and medical terminology.

Ability to communicate with patients on the phone and in an office setting.

Ability to communicate effectively and routinely with doctor, clinical staff, and office manager, other outside facilities, insurance companies and specialty pharmacies.

Willingness to maintain confidentiality of patient records and patient information.

Ability to navigate through EMR to find the required patient medical information.

Experience with Excel Spreadsheets.

Ability to complete benefits investigations as needed, review insurance denials and submit appeals when needed, prioritize workload, and develop a system to track prior authorizations needing additional follow up.

Excellent Customer Service Skills and exhibits compassionate care toward patients.

Willingness to complete other duties as assigned.

Qualified candidate must possess the ability to work independently and productively, be organized and cooperative under stressful conditions, and thrive in a teamwork environment.

Company Description
We are a team of collegial and motivated individuals who provide excellent patient care to people living with migraine or other headache conditions. Our corporate culture is one of respect, professionalism, and creativity that is patient-focused and provides motivation for improvement and advancement of personnel within the organization.

Company Description

We are a team of collegial and motivated individuals who provide excellent patient care to people living with migraine or other headache conditions. Our corporate culture is one of respect, professionalism, and creativity that is patient-focused and provides motivation for improvement and advancement of personnel within the organization.

Job Summary

JOB TYPE

Full Time

SALARY

$39k-48k (estimate)

POST DATE

05/01/2024

EXPIRATION DATE

05/20/2024

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The following is the career advancement route for Prior Authorization Specialist positions, which can be used as a reference in future career path planning. As a Prior Authorization Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Prior Authorization Specialist. You can explore the career advancement for a Prior Authorization Specialist below and select your interested title to get hiring information.

If you are interested in becoming a Prior Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Prior Authorization Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Prior Authorization Specialist job description and responsibilities

Request, follow up and secure prior-authorizations prior to services being performed.

04/09/2022: Laramie, WY

Receive requests for pre-authorizations and ensure that they are properly and closely monitored.

03/28/2022: Schenectady, NY

Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.

02/27/2022: Wichita, KS

Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.

04/08/2022: Altus, OK

Reported to supervisor to assure accurate capture of services needing authorization.

02/05/2022: Dothan, AL

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Prior Authorization Specialist jobs

Prior Authorization Specialist must have excellent computer skills including Excel, Word, and Internet use.

02/12/2022: New Britain, CT

A good Prior Authorization Specialist are those who are detail oriented with above average organizational skills.

03/28/2022: Galveston, TX

Basic understanding of human anatomy, specifically musculoskeletal would also give you benefits for this role.

04/04/2022: Lebanon, PA

Some experience in medical billing or insurance authorization are strongly preferred by most employers.

03/10/2022: Jamestown, NY

Licenses and certifications are not usually required to work as a prior authorization specialist.

04/02/2022: Mcallen, TX

Step 3: View the best colleges and universities for Prior Authorization Specialist.

Butler University
Carroll College
Cooper Union
High Point University
Princeton University
Providence College