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Location

Marlborough, MA | United States

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Job description

Adecco is assisting their client with their search for an Administrative Assistant/ Insurance Authorization Specialist.

Type: 40hrs/wk. Contract

Start Date: 1-2 weeks.

Location: REMOTE

Pay: $26.37

Duration: 8 Months (can extend)

Shift: M-F (8am – 4:30p)

Description:

About the role:
The Pre-Authorization Specialist II is responsible for performing proficient benefit verification and pre-authorization functions with insurance carriers, within an established time frame, for new pre-surgical cases submitted to the Pre-Authorization Support Department.

Your responsibilities will include:
Checking the departmental electronic inbox to coordinate the initial intake of physician and facility requests to secure prior authorization for service
Create electronic folders for new patients
Organize patient medical records in preparation for prior authorization and appeals process
Answers incoming calls received through the toll-free Pre-Authorization Support ACD and provides appropriate call/case handling
Performs benefit verification, pre-surgical authorization for new pre-surgical cases, and appeals by working closely with all payers
Utilizes proficient knowledge in Microsoft Office and database management to document case status, actions, and outcome
Communicates and builds relationships with HCP offices and Field Reimbursement Managers in regard to all inquiries for the handling of cases, i.e., missing case information, benefits etc.
Utilizes customer service skills in engaging with customers, communicating with sales representatives, and working in teams in a call center environment to expedite processing of cases
Coordinates with lead and supervisor regarding complicated cases

Quality Systems Duties and Responsibilities:
Build Quality into all aspects of their work by maintaining compliance to all quality requirements.

Required qualifications:
High School Diploma
Minimum 3-year Insurance Pre-Authorization experience
Experience working with various payors including, Medicare, Medicaid, and Private Payor, as it relates to medical procedures, services, and devices
Experience building effective relationships with internal and external customers.

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Pay Details: $26.37 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to

The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.

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Job tags

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Salary

$26.37 per hour