Insight Global is looking to hire 2 Prior Authorization Specialists.
Job Description:
Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of benefits plan. The LTSS Service Authorization Specialist is responsible for applying clinical and benefit administration policy guidelines to requests for authorizations for Long Term Services and Supports (LTSS). The LTSS Service Authorization Specialist provides accurate, prompt, and appropriate medical authorizations to requests from Clinicians, Vendors and Providers for LTSS. The LTSS Service Authorization Specialist s to the LTSS Service Authorization Team Lead.
Requirements:
This role is FULLY REMOTE
Monday – Friday
9am-5pm EST
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