Prior Authorization Specialist

$3,000 Sign On Bonus

Responsibilities

• Responsible for obtaining pre-authorizations, referrals and continual authorizations for patients receiving outpatient rehabilitation when necessary.
• Works with clinicians to request extensions from insurance companies when necessary.
• Is accountable for validating new patient insurance information entered by scheduling staff.
• Responsible for verification of any insurance information that has not been completed upon admission.
• Responsible for obtaining verification of insurance benefits and completion of insurance benefit forms.
• Responsible for obtaining detail information to facilitate payment such as third party administrator and case manager requests. SKILLS & ABILITIES:
• Working knowledge of Medicare, Medicaid, Workers Compensation and commercial insurance required.
• Must have working knowledge of personal computers, word processing software, preferably Word and other Microsoft office programs (Access, Outlook, Excel, etc.)
• May be required to obtain/maintain CPR for Health Care Provider/CPR for Professional Rescuer, based off clinical need and delegation.
  
  

EDUCATION & EXPERIENCE:

• High school equivalency with one year post-high school education and
• Two years of relevant work experience required.
• Additional relevant work experience would be considered in lieu of formal post-high school education.
  
  

Madonna provides a professional work environment free from discrimination and harassment, including sexual harassment. Discrimination or harassment on the basis of a current or potential employee's race, creed, color, religion, sex, sexual orientation, gender identity or gender expression, age, disability, national origin, pregnancy, receipt of public assistance, marital status, Vietnam era veteran status, genetic information, or any other protected class specified under applicable local, state, or federal law is expressly prohibited.