Prior Authorization Specialist - OPHTHALMOLOGY Job at Prestige Staffing - Healthcare Jobs - Revenue Cycle, Saint Louis, MO

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  • Prestige Staffing - Healthcare Jobs - Revenue Cycle
  • Saint Louis, MO

Job Description

Job Description

Job Description

JobID: 50692

Job Title: Prior Authorization Specialist - OPHTHALMOLOGY

Pay: $17-$21 per hour

Location: 100% Remote

Summary: We are seeking an experienced Prior Authorization Specialist to join our team, specializing in ophthalmology. As a key member of our team, you will be responsible for initiating and obtaining prior authorizations for medical diagnostic testing and outpatient surgeries. If you have a strong background in radiology and surgery, excellent clinical skills, and the ability to navigate complex systems, we encourage you to apply.

Requirements:

  • 3+ years of experience initiating and obtaining prior authorizations for medical diagnostic testing and outpatient surgeries
  • Strong experience in radiology, including examples such as CT, MRI, PET, Sleep Studies, Nuclear Medicine procedures, etc.
  • Strong experience in surgery, including examples such as Total joint replacement, Spinal Fusions, Pain Management Injections, Colonoscopy, Hernia Repair, Cataract Surgery, Ablations, etc.
  • Clinical/Patient Care Experience: MA, LPN, AUA, Cardiac Monitor Assistant
  • Strong Medical Terminology Skills
  • Strong Computer Skills and the ability to navigate through various programs simultaneously
  • Experience in large scale HER systems such as Epic
  • Experience navigating through clinical information and able to comprehend the information
  • Flexible, able to handle change with ease
  • Experience in Insurance Payor Portals and 3rd party portals
  • Approachable, Coachable, and attention to detail for accuracy
  • Self-motivated and holds self-accountable for meeting productivity expectations

Benefits:

  • Fully remote opportunity
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#LI-LA1

Job Tags

Hourly pay, Remote work, Flexible hours,

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