Prior Auth Specialist
US Tech Solutions
**Duration: 6 + months contract**
**Job Description:**
+ This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
**Responsibilities:**
+ Handel high volume of Inbound and Outbound Calls
+ Communication with the provider and member regarding their prior authorization.
+ Review and process prior authorization requests by collecting necessary clinical and insurance documentation, ensuring all required information is accurate and complete for insurance approval.
**Skills:**
+ Prior Authorization
+ Inbound and outbound call
+ Customer support
+ Knowledge of Medicare and Medicaid
**Experience:**
+ Prior Authorization
+ High volume call handling
+ Coverage determination
+ Medicare/ Medicaid
**Education:**
+ High School Diploma/ GED
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com) .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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