Prior Authorization Specialist

At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC). MSC is a 13 -Time recipient of the prestigious North. Coast 99 Award as a Top Workplace to work! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US.

In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success! Join Our Team! We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days.

Benefits

included! Apply today to become a part of our dynamic team! Competitive Pay Advancement Opportunities Medical, Dental & Vision Insurance HSA Account w/Company Contribution Pet Insurance Company provided Life and AD&D insurance Short-Term and Long-Term Disability Tuition Reimbursement Program Employee Assistance Program (EAP) Employee Referral Bonus Program Social Recognition Program Employee Engagement Opportunities CALM App 401k (with a matching program) / Roth IRA Company Discounts Payactiv/On-Demand Pay Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays General: As part of the PAR team, participates in monitoring and improving processes relative to the quality, appropriateness, and timeliness of the reimbursement information requirements of our order processing activities.

Responsibilities

Support intake staff by assisting with insurance verification. Initiates authorization requests with insurance companies and government payers and obtains the necessary documentation. Communicate and report to case management any insurance related issues for order fulfillment. Monitors outstanding authorization requests and initiates follow up of authorizations in a timely manner.

Assists with insurance changes when prior authorizations are needed. Manages phone calls related to prior authorizations. Other duties as assigned.

Qualifications

Education

Graduate of an accredited high school or GED equivalence. Experience/Knowledge/Skills/Physical Requirements: Ability to multi-task in a fast-paced environment Detail and team oriented Effective communication (verbal and written) and organizational skills Proven computer proficiency, the use of multiple applications simultaneously Knowledge of the HME/DME industry is preferred