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Back Office Processor - (Remote Optional)

Job Description:

Individual will be responsible for naming prior authorizations.

  • Research and analyze electronic and manual claims. Apply troubleshooting skills to resolve issues as allowed by the individual benefit.
  • Communicate prior authorization criteria to providers.
  • Act as a provider help desk specialist to aid providers in submitting prior authorization requests, providing formulary product information, and communicating prior authorization request status.
  • Develop and maintain knowledge of Medicare D, Medicaid, and/or Exchange programs
  • Respond to and resolve all internal and external inquiries in a timely, accurate, and complete manner.
  • Utilize all available resources to ensure that the correct and complete answer is given to all inquiries.
  • Actively participate in team meetings, coaching sessions, and daily operations.
  • Protect all personal health information and abide by all HIPAA regulations and confidentiality requirements.

Preferred Qualifications:

  • 6+ months of computer related experience
  • Ability to type 40 WPM
  • High School Diploma or equivalent

Perks/Benefits

  • Full benefit package (Health, Dental, 401K, etc)
  • Generous PTO package
  • Onsite fitness facility and cafeteria
  • Opportunity for advancement!

Hours

  • Monday - Friday; 1st Shift (Shift could be as late as 8pm at night)
  • 1 week every 6 weeks

**Must pickup equipment in Appleton, WI **

This is a full-time opportunity with a reputable company! If you or someone you know is interested in this position, please send a resume or call (920) 636-4126.

About Aston Carter:

Aston Carter is a distinguished global provider of recruitment and staffing services to companies requiring highly specialized business professionals. As a Best of Staffing® Client and Talent leader, Aston Carter has an unrivaled commitment to delivering first class service to clients and business professionals across a variety of disciplines, including Accounting and Finance as well as Governance, Risk and Compliance. With more than 60 offices across Europe, Asia Pacific and North America, Aston Carter provides local, regional and global expertise to drive value and meet our customers' unique needs. Aston Carter is a division of Aerotek. Aerotek is an operating company of Allegis Group, a global talent solutions provider.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Company
Aston Carter
Posted
07/21/2021
Type
Contractor
Location
Appleton, WI, US