Prior Authorization Specialist

Center for Integration Science

Somerville, MA, United States
Base: $19.81 - $28.30phly; bonus/equity: not speci...
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Medical terminology knowledge
Insurance benefits understanding
Coordination of benefits expertise
** The Center for Integration Science is seeking a Prior Authorization Specialist to manage requests for medical service authorizations, ensuring compliance with company policies and effective communication with relevant stakeholders. Candidates should have a high school diploma and 1-2 years of experience in medical authorization or a related field. This hybrid role offers competitive pay and comprehensive benefits within a collaborative healthcare environment. **

Job Summary

  • The role involves reviewing and processing requests for authorization of medical services in accordance with company policies and procedures.
  • Candidates must research and ensure proper and accurate diagnosis and procedure codes are assigned while collaborating with other departments to resolve complex issues.
  • The position offers a competitive hourly pay range of $19.81 to $28.30 along with comprehensive benefits and career advancement opportunities.

Matching Summary

Match Score: 75

** The Center for Integration Science is seeking a Prior Authorization Specialist to manage requests for medical service authorizations, ensuring compliance with company policies and effective communication with relevant stakeholders. Candidates should have a high school diploma and 1-2 years of experience in medical authorization or a related field. This hybrid role offers competitive pay and comprehensive benefits within a collaborative healthcare environment. **

Salary

Base: $19.81 - $28.30/Hourly; Bonus/Equity: Not specified; Benefits: Comprehensive benefits, career advancement opportunities, differentials, premiums, and bonuses

Skills & Requirements

Must-have

  • Medical terminology knowledge
  • Insurance benefits understanding
  • Coordination of benefits expertise
  • Accurate data entry skills
  • Fast-paced environment adaptability

Nice-to-have

  • Strong communication skills
  • Team collaboration ability
  • Independent work capability
  • Complex issue resolution
  • Patient counseling coordination

Key Requirements

  • High School Diploma or Equivalent
  • 1-2 years experience in medical authorization
  • Knowledge of medical insurance benefits

Work Rights

Not specified

Tailored Resume

Cover Letter