Job Summary
A company is looking for a Prior Authorization Specialist (RN or LPN).
Key Responsibilities
- Manage pre-certification and prior authorization of referrals for hospital admissions
- Initiate and complete patient authorizations while ensuring compliance with policies
- Collaborate with Business Development and Case Management to ensure continuity of patient care
Required Qualifications
- At least two (2) years of direct experience in third-party reimbursement
- Must be a Registered Nurse (RN) or Licensed Practical Nurse (LPN)
- Experience working with Excel and databases is preferred