Pre-Authorization Specialist

Remote, USA Full-time
About the position Cognizant is looking to add a Pre-Authorization Specialist to our growing patient service team. The main function of the Pre-Authorization Specialist is to verify benefit eligibility, review/summarize orders, acquire prior authorization(s) and partner with respective Sales Representatives for pre-authorization approvals. You will partner with a company that designs, manufactures, and markets products used primarily by musculoskeletal medical specialists in both surgical and non-surgical therapy. Your skills are needed, are you interested? If so, please apply in order to be considered. We look forward to reviewing your application! This position will work CST hours where you will be assigned one of the following shifts based on business need: 7am-4pm, 8am-5pm, or 10am-7pm. Responsibilities • Review orders, summarize medical portion of the file • Make and receive calls from health insurance companies to verify eligibility and benefits • Acquire medical chart notes from reps/through doctors and contact payers to acquire pre-authorization • Verify secondary pre-authorization through documentation links if any • Finalize the case and allow the application of the product on the patient • Maintain confidentiality of any confidential medical records or patient information • Operate in strict compliance with all applicable laws Requirements • High School Diploma or equivalent experience • 6+ months of customer service experience • Digital literacy skills • Excellent written and verbal communication skills • Strong attention to detail Nice-to-haves • Medical/Health Insurance knowledge • Medicare background Benefits • Medical/Dental/Vision/Life Insurance • Paid holidays plus Paid Time Off • 401(k) plan and contributions • Long-term/Short-term Disability • Paid Parental Leave • Employee Stock Purchase Plan Apply tot his job
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