Healthcare

Prior Authorization Specialist

Contract

Strategic Staffing Solutions

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!

Strategic Staffing Solutions is currently looking for Prior Authorization Specialists for a contract opportunity with one of our largest clients located in Detroit, MI!

Title: Prior Authorization Specialists – multiple openings

Location: Detroit, MI

Duration: 12+ Months

Role Type: W2 contract engagement

ROLE SUMMARY

Medicare Advantage Post-Acute Care Specialist:

  • Support healthcare providers and UM reviewers with prior authorization requests for post-acute care services.
  • Includes manually entering authorization requests into healthcare system, following rules and algorithms embedded in the care management system to administratively approve prior authorization requests.
  • May work with providers to secure discharge plans, Notice of Non-Medical Coverage, Durable medical equipment, and other home supports required for discharge planning.
  • May support scheduling physician to physician calls.
  • Will support appeal processes for CMS designated Quality Improvement Organization appeals including logging all appeal activities.

Requirements:

  • High School Graduate or GED equivalent required.
  • Two (2) years of college preferred.
  • Two (2) years’ experience as medical assistant, care technician, post-acute care and home health care support staff or ancillary services in other health care related field preferred.
  • Knowledge of post-acute care functions and processes or discharge readiness activities may be preferred for some positions.

The S3 Difference

The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities.  The four pillars of our company are to:

  • Set the bar high for what a company should do
  • Create jobs
  • Offer people an opportunity to succeed and change their station in life
  • Improve the communities where we live and work through volunteering and charitable giving

As an S3 employee, you’re eligible for a full benefits package that may include:

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Plan
  • Vacation Package
  • Life & Disability Insurance Plans
  • Flexible Spending Accounts
  • Tuition Reimbursement

Job ID: JOB-235973
Publish Date: 10 Jun 2024

Tagged as: Prior Authorization Specialist