Prior Authorization Specialist

  • location: Linthicum Heights, MD
  • type: Temp to Perm
  • salary: $15 - $18 per hour

job description

Prior Authorization Specialist

Would you say you have experience providing world class customer service? We have a local healthcare company that is in need of someone with your expertise. This is a high volume and fast paced environment where you will be working off of 2 computer screens and will be required to multi-task efficiently. You will follow up with customers via phone, email and fax to retrieve any necessary information.


Responsibilities will include but are not limited to 

  • Performing timely intake processes on all incoming request
  • Maintain optimal quality standards for all processes and ensure compliance to productivity schedule and maintain all member data into systems and monitor activity
  •  Deliver excellent customer service
  • Process authorization of surgical requests according client control requirements
  • Respond to telephone inquiries from members and/or providers for services as well as DME when needed
  • Verification of eligibility, confirmation of benefits, facilitation of the referral/authorization processes
  • Maintain a working knowledge of, and adheres to applicable federal/state regulations including but not limited to, laws related to patient confidentiality, release of information, and HIPAA
  • Other duties as assigned

The essential functions of this role include:
  • working weekends
  • Medical Software
  • Medical Terminology
  • Written Communication
  • communication skills
  • Claims Processing
  • High School (required)
  • Years of experience: 2 years
  • Experience level:Experienced
Shift: First

Working hours: 8 AM - 5 PM

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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