Kforce Prior-Authorization Representative in Cambridge, Massachusetts

Kforce has a major Hospital in Cambridge, Massachusetts (MA) that is looking for a Prior-Authorization Representative.Essential Functions:

  • Responsibilities includes contacting insurance plans and/or authorizing agencies to obtain prior approval for scheduled surgical/ancillary events

  • This individual will be responsible for understanding all payer requirements and pre-certification/authorization process for all outpatient surgical and ancillary procedures with the insurance carriers

  • Previous experience with pre-certification/approval processes and knowledge on managed care and other health insurance policies helpful

  • Experience using Epic and Meditech is preferred

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.Compensation Type:HoursMinimum Compensation:0.00Maximum Compensation:0.00