Job Title: Prior Authorization Specialist

Job Description

The Prior Authorization Specialist is key to department success because their expertise in arranging timely and accurate referrals and obtaining pre-authorizations from insurance companies allows our patients to quickly access the important treatment they need. The specialist receives and processes prior authorizations required for treatment, obtains insurance pre-authorization for patients, and re-authorization of additional treatment. They ensure insurance carrier documentation requirements are met, efficiently manage correspondence with the clinical team and insurance carriers, and work in collaboration with the entire revenue cycle team to improve processes and prevent financial toxicity for our patients. The specialist also maintains appropriate reports to accommodate transitioning patient and payer needs.

ResponsibilitiesReceive and process prior authorizations required for treatment.Obtain insurance pre-authorization for patients and re-authorization of additional treatment.Ensure insurance carrier documentation requirements are met.Efficiently manage correspondence with the clinical team and insurance carriers.Work in collaboration with the entire revenue cycle team to improve processes and prevent financial toxicity for our patients.Maintain appropriate reports to accommodate transitioning patient and payer needs.Essential Skills2 years of prior authorization or medical billing experience preferred.Experience in heads down, detail-oriented positions.Basic computer skills.EMR data entry experience.Attention to detail.Exceptional communication skills.Great time management boundaries.Ability to create and maintain efficient processes.Strong attention to detail.Positive attitude.Understanding the impact of work on patient outcomes.Additional Skills & QualificationsMedical terminology knowledge is nice to have.Enjoyment of heads down work with minimal face-to-face patient interaction.Experience in medical, administrative, healthcare, patient scheduling, patient registration, medical scheduling, healthcare insurance, medical insurance, insurance denials, medical reception, and patient coordination.Work Environment

The position operates Monday through Friday from 8am to 5pm. You will work with a team of other Prior Authorization Specialists at a business office located in downtown Salem. The work environment is supportive and collaborative, focused on helping patients receive the care they need.

Pay and Benefits

The pay range for this position is $21.15 - $24.01/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Salem,OR.

Application Deadline

This position is anticipated to close on Feb 20, 2025.

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\n \n About Aston Carter:\n

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

\n Diversity, Equity & Inclusion\n

At Aston Carter, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

\n Hiring diverse talent\n Maintaining an inclusive environment through persistent self-reflection\n Building a culture of care, engagement, and recognition with clear outcomes\n Ensuring growth opportunities for our people\n

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.

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