Prior Authorization Representative – Hybrid OR Remote

Website Madison County Health Care System

Preforms duties primarily associated with obtaining prior authorizations to proceed with medical testing, treatments and procedures. Utilizes various means of communication, such as telephone, fax and web-based programs to collaborate with insurance companies, worker’s compensation carriers, medical providers offices, and other pertinent entities in obtaining prior authorization approvals for medical testing, treatments and procedures. Also coordinates referrals to outside providers for patients needing care from specialty providers.

Strong customer services experience and understanding of medical terminology required. Previous experience working with hospital or clinic Office duties or previous experience working in a medical office preferred.

FT Mon-Fri – 7:30 am – 4:00 pm

Hybrid position with the potential of being fully Remote

80 hours per pay period