Prestige Staffing
Prior Authorization Specialist
Prestige Staffing, Charleston, South Carolina, United States, 29408
Prestige Staffing is hiring a Prior Authorization Specialist to work in the office for several months until trained and offered a permanent role. Once trained and meeting production, the candidate will be allowed to work remotely while maintaining productivity. Must have hospital prior authorization experience. This is a full-time Monday‑Friday normal work hour role.
Pay Negotiable, around $20‑22/hr+.
Location Fully onsite, West Ashley area, Charleston, SC.
Hours Monday‑Friday, 8 a.m. – 5 p.m.
Job Type ~6 month contract to potential hire.
Responsibilities
Able to verify eligibility, obtain insurance benefits, and ensure pre‑certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services.
Able to determine which patient services have third‑party payer requirements and is responsible for obtaining the necessary authorizations for care, via phone, fax, or payer websites.
Provides detailed and timely communication to both payers and clinical partners to facilitate compliance with payer contractual requirements and documents the appropriate information in the patient’s record.
Requirements
EPIC experience preferred.
2+ years of prior authorization and pre‑certification experience preferably in a hospital setting.
Experience using all payer portals for commercial and government.
Knowledge of how to keep claims from being denied due to great upfront pre‑cert steps.
Able to pass drug test and criminal background.
Apply today for immediate consideration.
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Pay Negotiable, around $20‑22/hr+.
Location Fully onsite, West Ashley area, Charleston, SC.
Hours Monday‑Friday, 8 a.m. – 5 p.m.
Job Type ~6 month contract to potential hire.
Responsibilities
Able to verify eligibility, obtain insurance benefits, and ensure pre‑certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services.
Able to determine which patient services have third‑party payer requirements and is responsible for obtaining the necessary authorizations for care, via phone, fax, or payer websites.
Provides detailed and timely communication to both payers and clinical partners to facilitate compliance with payer contractual requirements and documents the appropriate information in the patient’s record.
Requirements
EPIC experience preferred.
2+ years of prior authorization and pre‑certification experience preferably in a hospital setting.
Experience using all payer portals for commercial and government.
Knowledge of how to keep claims from being denied due to great upfront pre‑cert steps.
Able to pass drug test and criminal background.
Apply today for immediate consideration.
#J-18808-Ljbffr