Job Description
The Prior Authorization Specialist is responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion of the required prior authorization in order to proceed with testing. Complete, timely, and accurate identification and submission of prior and retro authorization requests to the payors. Interacts with clients, insurance companies, patients, and sales representatives, as necessary, to request for prior authorizations. Responsible for documenting account activity, updating patient and claim information and demonstrates proficiencies with the XIFIN billing system to ensure all functionalities are utilized for the most efficient processing of claims and identifies prior authorization trends and/or issues resulting in delayed claims processing. Provides the highest level of customer service to internal and external clients.
Mdxhealth seeks talented people who are passionate about improving the diagnosis and treatment of cancer patients.
Mdxhealth is a building world class healthcare company, providing significant career development and financial opportunities.
Company Benefits:
We offer a comprehensive compensation and benefits package, which includes a competitive salary, company paid medical, dental, vision and life insurance coverage, 401(k) with company match, generous employee discounts, a casual, but driven work environment, and the ability to make a real difference as a key contributor to our growth.
Mdxhealth 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, or protected veteran status and will not be discriminated against based on disability.
Accessibility: If you need an accommodation as part of the employment process, please contact Human Resources at: 866-259-5644.
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