Prior Authorization Specialist | Remote | Contract Job at Walker Healthforce, Detroit, MI

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  • Walker Healthforce
  • Detroit, MI

Job Description

Prior Authorization Specialist | Remote | Contract


Walker Healthforce is seeking a Prior Authorization Specialist for a healthcare client located remotely. This is a contract opportunity.


START DATE: ASAP


Walker Healthforce Standard Perks:
  • Weekly pay via Direct Deposit
  • Medical, Dental, and Vision Available
  • 401K

JOB SUMMARY
  • Support providers and UM reviewers with prior authorization requests for post-acute care services.
  • Manually enter authorization requests into Care Management systems.
  • Follow rules and algorithms in the care management system to administratively approve prior authorization requests.
  • Work with providers to secure discharge plans, Notice of Non-Medical Coverage, durable medical equipment, and other home supports required for discharge planning.
  • Support scheduling of physician-to-physician calls.
  • Support appeal processes for CMS designated Quality Improvement Organization appeals, including logging all appeal activities.

JOB REQUIREMENTS
  • Proficient with Microsoft applications (Excel, Outlook etc.)

PREFERRED JOB REQUIREMENTS
  • Associate's Degree
  • 2 years of experience as medical assistant, care technician, post-acute care and home health care support staff or ancillary services in other health care related field
  • Knowledge post-acute care functions and processes or discharge readiness activities may be preferred for some positions.

Contact our Recruiting Team today to experience the Walker Healthforce difference!


ABOUT US
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!


We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.

Job Tags

Remote job, Weekly pay, Contract work, Immediate start,

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