Job Description

A-line Staffing is looking to hire 5 INSURANCE VERIFICATION / PRIOR AUTHORIZATION SPECIALIST in the ROBINSON, PA Area. Please review the following job description and requirements and APPLY NOW if interested.

Or CALL MIKE RICHARDSON AT 586-710-7969

• STARTING PAY: $18 PER HOUR (POSSIBLE RAISE AFTER 90 DAYS)
• HOURS: MONDAY TO FRIDAY, 8.00AM TO 5.00PM, 40 HOURS PER WEEK
• START DATE 10/26/2020

Zoom Interviews will be conducted Wednesday, October 7 - Friday October 9 8:30A- 4:00 (20 min)

CALL CENTER REPRESENTATIVE JOB DUTIES:

• Initiate authorization requests for output or input services in keeping with the prior authorization list
• Research claims inquiry specific to the department and responsibility
• Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results
• Assess and monitor inpatient census
• Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services
• Check accounts for past due balances, light collections, and EOB’ s
• Screen members by priority for case management (CM) assessment
• Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs
• Coordinate services with community based organizations
• Attend marketing and outreach meetings as directed to represent the plan
• Produces and mails routine CM letters and program educational material

Job Requirements

• HIGH SCHOOL DIPLOMA / GED OR COLLEGE DEGREE
• PRIOR AUTHORIZATION / INSURANCE VERIFICATION
• MANAGED CARE / MEDICARE / MEDICAID EXPERIENCE
• HEALTHCARE OR MEDICAL CALL CENTER EXPERIENCE A MUST
• CAREER FOCUSED CANDIDATES NEEDED!!!

APPLY NOW IF INTERESTED

OR CALL MIKE RICHARDSON AT 586-710-7969