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Prior Authorization Agent

Company: CNSI
Location: Tallahassee
Posted on: November 10, 2019

Job Description:

Prior Authorization Agent

The prior authorization agent is responsible for reviewing and processing prior authorization request received in support of the WCMBP.

What you will do:

* Review incoming authorization requests ensuring all required data is present

* Process incoming authorization requests timely and accurately ensuring contractual standards are met

* Process authorization requests in accordance with policies and procedures

* Identify reoccurring problems and provide feedback to management to affect change

* Observe and comply with all HIPAA policies and procedures in accordance with PHI access level and immediately report any improper or questionable use and/or disclosures of PHI to the HIPAA compliance officer through appropriate channels

* You will possess unwavering commitment to customer service and operational excellence

Who you are:

* You have effective verbal and written communication skills

* You can learn quickly, and work in a fast-paced environment

* You can work independently and have excellent problem-solving skills

* You have a minimum of 1-year prior medical office/health insurance billing experience.

* Must be computer literate and demonstrate good typing skills.

* You must demonstrate strong organizational skills

* Familiarity with ICD-9/10 and CPT codes is a plus

About us:

We are proud to be a partner to the public sector, a trail blazer in health IT and a passionate advocate for better health, better care and lower costs for millions of Americans. Innovation is core to our DNA and through our iCare program we invest in the well-being of our employees and the communities in which we live and work. You will be offered a solid compensation package which includes:

* Annual and Other Paid Leave

* Medical/Dental Insurance

* Flexible Spending Account (FSA) Plan

* Disability Insurance (Short & Long Term)

* Life Insurance

* 401(k) Retirement Savings Plan

* Employee Assistance Program

* College Savings Plan

* Tuition & Training Assistance

* Paid Holidays

* Employee Referral Program

CNSI maintains a policy supporting equal employment opportunity. Employment decisions at CNSI are made without regard for race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, genetic status, family responsibilities, protected veteran status or any other status protected by applicable Federal, state, or local law. We are proud of our diversity and encourage all qualified applicants to apply.

Location: Tallahassee, FL

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor s legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: CNSI, Tallahassee , Prior Authorization Agent, Sales , Tallahassee, Florida

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