Claims/ Authorization representative

Immediate need for a talented Claims/ Authorization representative. This is a 03+ Months Contract opportunity with long-term potential and is located in Texas (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-65023

Pay Range: $17 - $18.50/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• Shift Timing: 8:00am – 5:00pm (subject to change depending on business needs) Possibly of over time according to business needs.
• The Centralized Authorization Team consists of the processing of authorizations for LTSS, in which we are now at a 3-4 BD TAT for the processing of LTSS/ SK/SH/MMP authorizations.  
• We will utilize project temps/contingent workers to assist with each of these areas as well as cross train them to be able to assist in multiple functions.  
• The authorization team continues to experience a high task and authorization volume as the number of VIP providers has increased.
• Outbound calls
• Data Entry
• Processing Authorization.
• Excellent attendance (especially during training)
• Daily goal will start with 5 authorizations for start then will move to 19 gradually
• Daily production trackers must be completed and emailed to designated person at the end of your shift
• Multi-tasking with multiple monitors and applications
• Utilize work guides and or resources
• 97% Quality (Audits)
• 98% Production
• 0-5% Error Rate

Key Requirements and Technology Experience:

• Skills-Claims, Authorization,  claims processing.
  2+ years of medical experience in authorizations or claims processing practices in managed care setting.
• Knowledge of customer service, medical terminology, and operation of office equipment.
• 2 years of medical experience in authorizations or claims processing practices in managed care setting.
• Knowledge of customer service, medical terminology, and operation of office equipment.
• Experience working remotely.
• High School Diploma or GED.
• Microsoft Outlook, Microsoft Word, Microsoft Excel, SharePoint, Internet, Microsoft Teams.
• Knowledge of customer service, medical terminology, and operation of office equipment.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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