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Prior Authorization Specialist

TEKsystems
locationDes Moines, IA, USA
PublishedPublished: 6/14/2022
Education
Full Time

Job Description

Job Description

Description

  • Uses insurance and web portals to authorize insurance carriers. Experience working with BCBS, UHC, Medicare, Tricare, Wellmark, ITC Wellpoint, etc., would be very relatable.
  • Prepares accurate reports and provides departmental summary information for Patient Access Team that ensures all infusions and testing performed in the department are reviewed and prior auth or predetermination is obtained
  • Responsible for satisfying admission notice requirements for pre-certification/authorization for HMO/commercial payers in order to meet contractual agreements to avoid penalties
  • Responsible for editing, updating and timely filing of all new information gathered for each admission. In addition, assists patients with billing related inquiries if necessary
  • Appeals denied claims for related services, drugs, treatments and supplies. Obtains authorizations for related services, drugs, treatments and supplies
  • Assists interdepartmental teams in troubleshooting accounts that are being held in A/R due to lack of prior authorization

Pay and Benefits

The pay range for this position is $18.00 - $25.00/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 remote position.

Application Deadline

This position is anticipated to close on Jul 18, 2025.

h4>About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

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

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

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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