Job Details

ID #51752310
State Maryland
City Silverspring
Source TEKsystems
Showed 2024-05-22
Date 2024-05-22
Deadline 2024-07-21
Category Et cetera
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Payer Clearance Specialist

Maryland, Silverspring

Vacancy expired!

Highlight:

Industry: Hospital and Healthcare

Employment Type: Permanent Placement

Location: Washington DC

Benefits of this Role:

Opportunity to work in a top Healthcare Organization in the DC Metro Area

Work with a large team to help develop skills

Leadership that looks to promote from within

A Day in the Role:

Verifying Authorizations for the patients coming in for surgeries, making sure they have everything they need to charge them on the back end. Authorizations will be in a variety of specialties including Genetic Testing, Radiology, Surgery, Cardiology and others.

Reaching out to the insurance companies to verify insurance and verify coverage constantly.

Start the process of submitting Authorizations and the process from start to finish. They will also be auditing appeals and denials. Writing own appeals.

Experience specifically in out of state Medicaid’s. For surgery and clinic visits. This new program we are scheduling visits for will require us to submit for both the clinic visit and surgical visit at the same time (not our usual model).

Requirements:

Bachelor's Degree

Insurance/Prior Authorization previous experience

Benefits Verification previous experience

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.

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