Overview
Schedule
Full-time
Career level
Senior-level
Remote
On-site
Job Description
Position Title: Prior Authorization Specialist
Department: Business Office
Supervisor's Title: HIM/Business Office Manager
IHA# Position Summary:
The Prior Authorization Specialist is responsible for obtaining pre-certifications and pre-authorizations for procedures performed at Valor Health. Developing and implementing prior authorization workflow, policies, and procedures. Principal Functions and Responsibilities:
- Contact insurance carriers to verify patient's insurance eligibility, benefits, and requirements.
- Request, follow up and secure prior authorizations prior to services being performed at Valor Health.
- Prioritize incoming authorization requests according to urgency.
- Collaborate with other departments to assist in obtaining prior authorizations in a cross-functional manner.
- When necessary, work with billing specialist to obtain a retro authorization.
- Assist with medical necessity documentation and submit medical records to expedite approvals and ensure that appropriate follow up is performed.
- Review accuracy and completeness of information requested and ensure that all supporting documents are present.
- Responsible for reviewing all encounters and mailing out Consolidated Summary of
- Attends and participates in meetings as requested.
- Performs other duties as assigned.
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FAQs About Prior Authorization Specialist Jobs at Valor Health
What is the work location for this position at Valor Health?
This job at Valor Health is located in Emmett, ID, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Valor Health?
Employer has not shared pay details for this role.
What employment applies to this position at Valor Health?
Valor Health lists this role as a Full-time position.
What experience level is required for this role at Valor Health?
Valor Health is looking for a candidate with "Senior-level" experience level.
What is the process to apply for this position at Valor Health?
You can apply for this role at Valor Health either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.