Job Description
Job Description
Join a fast-paced healthcare team where your attention to detail and administrative skills directly impact the patient experience. As a Pre-Authorization Specialist, you’ll be responsible for obtaining and managing prior authorizations for medical and surgical services, ensuring timely and accurate approvals while working collaboratively with clinical and administrative staff.
Key Responsibilities:
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Manage 25–35 pre-authorization cases daily for surgical and medical procedures
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Use EPIC and other EMR systems to extract and submit clinical documentation for insurance review
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Contact insurance companies to verify benefits and secure approvals
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Work closely with Utilization Review and Financial Services teams to support billing, appeals, and patient assistance efforts
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Track authorization status through admission and ensure all payer requirements are met
What We’re Looking For:
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2+ years of experience in a healthcare setting (hospital, physician's office, insurance company, etc.)
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Prior experience with registration, pre-authorizations, or referrals
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Knowledge of insurance verification, medical terminology, and EMR systems (EPIC preferred)
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Strong administrative skills, time management, and attention to detail
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Bilingual candidates encouraged to apply
Job Perks & Benefits:
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Standard Daytime Schedule: Enjoy a consistent Monday–Friday schedule (8:00 AM – 4:30 PM) with flexibility once trained.
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Prime Location: Work onsite at a modern office in Somerville’s Assembly Row area, close to shops, dining, and public transportation.
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Competitive Pay Range: Earn between $19.42 and $36.06/hour, depending on experience and qualifications.
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Hands-On Healthcare Experience: Gain exposure to hospital operations, insurance authorizations, and clinical documentation processes.
For a faster response, send your resume to michael.wilson@randstadusa.com.
Company DescriptionRandstad Staffing. We provide outsourcing, staffing, consulting, and workforce solutions within the areas of engineering, accounting and finance, healthcare, human resources, IT, legal, life sciences, manufacturing and logistics, office and administration, and sales and marketing.
We can’t wait to tell you all about it!
Company Description
Randstad Staffing. We provide outsourcing, staffing, consulting, and workforce solutions within the areas of engineering, accounting and finance, healthcare, human resources, IT, legal, life sciences, manufacturing and logistics, office and administration, and sales and marketing. \r\n\r\nWe can’t wait to tell you all about it!