Description:
Goodwill TalentBridge, a full service staffing and recruitment firm, is part of Goodwill Industries of Southeastern Wisconsin and Metropolitan Chicago, the largest of the 165 Goodwill territories in North America. With more than 90 years of experience in Workforce Development and job training, Goodwill is helping thousands of people find work in the communities we serve, including 13 counties in Wisconsin and 10 counties in Illinois.
Goodwill TalentBridge is currently hiring an experienced contract Prior Authorization Specialist to work in a healthcare field. This is a REMOTE opportunity on 1st shift.
1st shift hours CST: 8:00am-5:00pm; M-F Remote
$25/hr.
The Prior Authorization Specialist is responsible for day-to-day processes to verify patient eligibility and benefits (insurance verification) as well as providing preauthorization services to patients throughout the United States.
The typical daily workload consists of the following:
- eligibility investigations via phone and online web portals,
- obtaining authorizations as needed,
- collecting supporting clinical data from customers and documenting all activities in customer support system.
What You Will Do:
- Verify insurance benefits for commercial and governmental payers
- Determine the predetermination, authorization, and referral requirements of each health plan and meeting the requirements prior to the delivery of services
- Procure medical records and additional data from patients and customers
- Maintaining accurate and complete documentation of all inquiries for continuous improvement
Requirements:
About You:
- 3 or more years of experience with health insurance, benefits investigations, reimbursement, along with billing and coding
- Exhibit strong problem-solving skills in resolving authorization issues both through verbal and written communications
- Excellent communication and customer service skills
- Strong attention to detail, time management and organizational skills
- Ability to work independently, prioritize tasks, and stay organized in a high-volume setting
- Experience with Microsoft Office and computer systems, preferably Customer Relationship Management systems
- Bachelor’s degree or relevant experience in healthcare field
Job Type: Contract
Salary: $25.00 per hour
Schedule:
- 8 hour shift
- Monday to Friday
- No weekends
Experience:
- Insurance verification: 3 years (Preferred)
- Medical billing: 3 years (Preferred)
- billing and coding: 3 years (Preferred)
- benefit investigation: 3 years (Preferred)
- Customer service: 2 years (Preferred)
Work Location: Remote
Equal Opportunity Employer
