Job Summary
A company is looking for a Prior Authorization Specialist (RN or LPN) for a part-time remote position working weekends.
Key Responsibilities
- Manage pre-certification and prior authorization of patient referrals for admission
- Ensure compliance with documentation standards and mentor team members as needed
- Develop and maintain relationships with payers to enhance referral generation and minimize financial risk
Required Qualifications
- Licensure as a Registered Nurse or LVN/LPN is required
- 2 years of direct experience in third-party reimbursement is required
- Previous experience within a physical rehabilitation setting is preferred
- Experience working with Excel and databases is preferred