Pre Authorization Specialist II
RemoteHunter · United States
- Hybrid
- Full-time
- $63,856 / year
- United States
Job highlights
- Verify benefits and authorizations for pre-surgical cases.
- Work with insurance carriers and healthcare professionals.
- Utilize advanced Microsoft Office and database skills.
- Apply strong customer service in a call center.
- Contribute to process improvement initiatives.
About the role
Pre-Authorization Specialist II
About the Opportunity:
The Pre-Authorization Specialist II performs advanced benefit verification and pre-authorization functions with insurance carriers for new pre-surgical cases within an established time frame. This role supports pre-surgical case submissions to the Pre-Authorization Support Department and follows a remote work model.
Responsibilities:
- Answer incoming calls through the toll-free Pre-Authorization Support ACD and handle calls/cases appropriately.
- Perform benefit verification, pre-surgical authorization, and appeals by working with all payers.
- Use advanced Microsoft Office and database management skills to document case status, actions, and outcomes.
- Communicate and build relationships with healthcare professional offices and sales representatives regarding case inquiries.
- Notify appropriate internal departments of relevant information including complaint handling and adverse event notifications.
- Apply advanced customer service skills to engage with customers, sales representatives, and team members in a call center environment to expedite case processing.
- Maintain current metric standards.
- Provide support to internal teams, healthcare professional offices, and sales representatives.
- Suggest and evaluate continuous process improvements.
- Coordinate with lead and supervisor on complicated cases.
Requirements:
- 1 to 2 years of experience with a High School Diploma or equivalent experience, training, or apprenticeships.
Compensation:
- Minimum salary $37,544
- Maximum salary $63,856
- Compensation varies based on location, experience, education, licensure, certifications, and organizational needs.
- Non-exempt hourly roles may include variable compensation such as overtime, shift differential, and annual bonus target (subject to eligibility).
- Exempt roles may include variable compensation such as annual bonus target and long-term incentives (subject to eligibility).
Note: RemoteHunter is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company’s career page or ATS.
Key skills/competency
- Pre-Authorization Specialist
- Benefit Verification
- Insurance Carriers
- Pre-Surgical Cases
- Call Center
- Customer Service
- Microsoft Office
- Database Management
- Healthcare Professionals
- Appeals
Skills & topics
- Pre-Authorization Specialist
- Benefit Verification
- Insurance Authorization
- Healthcare Administration
- Call Center Specialist
- Medical Claims
- Patient Services
- Remote Work
- Administrative Assistant
- Process Improvement
How to get hired
- Tailor your resume: Highlight 1-2 years of experience in pre-authorization, benefit verification, or healthcare administrative roles, emphasizing customer service and database skills.
- Address requirements directly: Ensure your application clearly states your high school diploma or equivalent and any relevant training or apprenticeships.
- Showcase relevant skills: Emphasize proficiency in Microsoft Office, database management, and strong communication for interacting with payers and healthcare offices.
- Understand the remote aspect: Be prepared to discuss your ability to work independently and effectively in a remote call center environment.
Technical preparation
Master Microsoft Office Suite basics.,Practice advanced database entry skills.,Familiarize with call center software.,Understand insurance verification processes.
Behavioral questions
How do you handle high call volumes?,Describe a time you improved a process.,How do you manage difficult customer interactions?,How do you ensure accuracy in documentation?
Frequently asked questions
- What is the primary responsibility of a Pre-Authorization Specialist II at RemoteHunter?
- The primary responsibility of a Pre-Authorization Specialist II is to perform advanced benefit verification and pre-authorization functions for new pre-surgical cases, working with insurance carriers to ensure timely processing.
- What experience is required for the Pre-Authorization Specialist II role?
- The role requires 1 to 2 years of experience, along with a High School Diploma or equivalent experience, training, or apprenticeships. Experience in benefit verification or pre-authorization is highly valued.
- Is this a remote position? If so, where is the company based?
- Yes, this is a remote position. RemoteHunter facilitates the connection between candidates and employers; the actual employer's location will be detailed during the application process, but the role itself is remote.
- What are the salary expectations for a Pre-Authorization Specialist II?
- The salary range for this role is between $37,544 and $63,856 annually. Actual compensation depends on factors like location, experience, education, and certifications.
- What technical skills are important for a Pre-Authorization Specialist II?
- Key technical skills include advanced proficiency in Microsoft Office and database management for documenting case statuses, actions, and outcomes. Experience with ACD systems in a call center environment is also beneficial.
- How does RemoteHunter help candidates for this Pre-Authorization Specialist II role?
- RemoteHunter acts as a connector, helping exceptional candidates discover roles like the Pre-Authorization Specialist II and guiding them to complete their full application directly with the hiring company.