Job Description

Job Title: Prior Authorization Specialist Job Location Details: Omaha, Nebraska Work Location: Remote Job Overview: We are hiring for a Prior Authorization Specialist. This is a fully remote opportunity for somebody with Radiology or Surgery Prior Authorization Experience. Responsibilities/Job Duties: Responsible for several patient financial account services, including patient benefit assessment, insurance verification, pre-certification, pre-authorizations, pre-determination for services, and referrals management. Coordinate all aspects of surgery scheduling. Schedule all appointments for patients requiring surgery and revise/cancel appointments, as needed. Act as an interdepartmental liaison and maintain familiarity with scheduling functions. Perform duties and responsibilities in a manner consistent with the company's mission, values, and service standards. Minimum Education and Experience Requirements: High School Diploma or GED Surgery or Radiology Experience 3 + years of direct prior authorization experience Familiarity with most commercial insurances Well-versed in Medical Terminology Schedule/ Shift: Monday-Friday 8AM-4:30PM CST Pay: $15-18/hr Benefits: Paid Sick Leave Health Benefits / Dental / Vision ( Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).) 401k ( eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1) Short Term Disability Insurance Term Life Insurance Plan For California Applicants: We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients. Medix

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