Prior Authorization Specialist
New
G
Gainwell TechnologiesHealthcare Administration
United StatesFull-TimeMiddle
Salary30,500 - 43,500 USD per year
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Job Details
- Required Skills
- Microsoft OfficeCustomer serviceData entry
Requirements
- Relevant experience in prior authorization processing, Medicaid policy, insurance, or pharmacy.
- Strong knowledge of Medicaid policies and prior authorization procedures.
- Excellent written and verbal communication skills.
- Strong customer service abilities.
- Ability to multitask, manage time effectively, and meet strict deadlines in a remote setting.
- Proficiency in Microsoft Office and PC-based applications.
- 50-60+ WPM typing speed preferred.
Responsibilities
- Process 500+ Prior Authorization requests per week while maintaining accuracy and compliance.
- Ensure PA requests align with Medicaid policies and procedures.
- Collaborate with the clinical team to ensure timely and accurate processing of PA requests.
- Communicate effectively with Medicaid providers regarding PA status and requirements.
- Work closely with Gainwell and State employees to facilitate smooth authorization processing.
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