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Prior Authorization Specialist Jobs in Michigan

Prior Authorization Specialist Jobs
By Kalkaska Memorial Health Center At , Kalkaska, 49646 $21.00 - $26.25 an hour
Medical experience in prior authorizations is required.
40 hrs/week; Mondays - Fridays; between the hours of 8am - 6pm
When your work day ends, four seasons of recreation is right outside your door!
Authorization Specialist (Potentially Remote)
By Trinity Health - IHA At , Ann Arbor, 48105
Good organizational and time management skills to effectively juggle multiple priorities and time constraints and ever-changing medical situations.
POSITION REQUIREMENTS (ABILITIES & SKILLS):
If applicable, responsible for ongoing professional development – maintains appropriate licensure/certification and continuing education credentials, participates in available learning opportunities.
Knowledge of medical terminology and procedures at the level needed to perform responsibilities.
Proficient/knowledgeable in patient care procedures and organizational policies related to position responsibilities.
Contacts insurance companies via appropriate methods and obtains pre-certifications and authorizations.
Authorization Specialist Jobs
By Gift of Life Michigan At , Ann Arbor, 48108, Mi $24.64 - $30.80 an hour
Proficient in relevant computer applications, data entry, and typing skills
Associates Degree or 4-5 years relevant work experience
Knowledge of customer service practices and principles
Proficient listening, verbal, and written communication skills
Performs all essential job functions of Tissue Donation Coordinators
Approach families by telephone regarding their options to donate
Prior Authorization, Rn/Lvn Case Manager
By Altais At , Oakland, Ca $55 - $65 an hour
5+ Years of Managed Care experience in Case Management
Researching issues to facilitate objective medical management decisions based upon approved criteria, standards and guidelines
Provide case management activities across the continuum of care in order to facilitate and promote high quality, cost effective outcomes
The Skills And Experience You Bring:
EMR Experience (Epic is preferred)
5+ Referral Services / Prior Authorization Experience
Authorization Specialist-Medications Jobs
By Trinity Health - IHA At , Ann Arbor, 48106, Mi
Good organizational and time management skills to effectively juggle multiple priorities, time constraints and ever-changing medical situations.
POSITION REQUIREMENTS (ABILITIES & SKILLS):
Maintains knowledge of and complies with IHA standards, policies and procedures.
Maintains complete knowledge of office services and in the use of all relevant office equipment, computer and manual systems
Proficient knowledge of major health plans and insurance processes.
Ability to exercise sound judgement and problem-solving skills.
Authorization Specialist Jobs
By Trinity Health - IHA At , Ann Arbor, 48106, Mi
Good organizational and time management skills to effectively juggle multiple priorities, time constraints and ever-changing medical situations.
POSITION REQUIREMENTS (ABILITIES & SKILLS):
Maintains knowledge of and complies with IHA standards, policies and procedures.
Maintains complete knowledge of office services and in the use of all relevant office equipment, computer, and manual systems
If applicable, responsible for ongoing professional development – maintains appropriate licensure and continuing education credentials, participates in available learning opportunities.
Proficient knowledge of major health plans and insurance processes.

Are you looking for a challenging and rewarding career in healthcare? We are looking for an experienced Prior Authorization Specialist to join our team! As a Prior Authorization Specialist, you will be responsible for verifying insurance coverage, obtaining prior authorizations, and ensuring accurate and timely processing of requests. If you have excellent communication and organizational skills, we want to hear from you!

Overview A Prior Authorization Specialist is responsible for obtaining authorization for medical services from insurance companies. They review patient records and medical codes to determine the necessity of services and to ensure that the services are covered by the patient’s insurance. Detailed Job Description Prior Authorization Specialists are responsible for obtaining authorization for medical services from insurance companies. They review patient records and medical codes to determine the necessity of services and to ensure that the services are covered by the patient’s insurance. They also contact insurance companies to obtain authorization for services and to verify coverage. They may also be responsible for submitting claims to insurance companies and tracking the status of claims. Job Skills Required
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and procedures
• Excellent communication and customer service skills
• Ability to work independently and as part of a team
• Ability to multitask and prioritize tasks
• Attention to detail
• Computer proficiency
Job Qualifications
• High school diploma or equivalent
• Previous experience in a medical office setting
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and procedures
• Ability to work independently and as part of a team
Job Knowledge
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and procedures
• Understanding of medical office procedures
• Understanding of medical billing and coding
Job Experience
• Previous experience in a medical office setting
• Previous experience with insurance companies
• Previous experience with medical billing and coding
Job Responsibilities
• Obtain authorization for medical services from insurance companies
• Review patient records and medical codes to determine the necessity of services
• Contact insurance companies to obtain authorization for services and to verify coverage
• Submit claims to insurance companies and track the status of claims
• Maintain accurate records and documentation
• Answer questions from patients and providers regarding insurance coverage and authorization