Prior Authorization Nurse (Hybrid)

Prior Authorization Nurse LPN/RN.

About the Job:
Caring Hearts Homecare is looking to hire a part-time nurse (LPN/RN) as a Prior Authorization Specialist, someone who is self-driven, responsible, organized, and pays attention to details.

Qualifications:

1. Must be a nurse (LPN/RN).
2. Must have home care experience as an LPN/RN.
3. Have experience in Prior Authorization submission processes.
4. Ability to work independently and manage time effectively as an LPN/RN.
5. Good computer skills.

Responsibilities include:

1. Assist in completion of Prior Authorization document requests as an LPN/RN.
2. Review Prior Authorization documents for completion and accuracy as an LPN/RN.
3. Submit Prior Authorization requests to appropriate insurance companies for approval as an LPN/RN.
4. Track submitted PA requests.
5. Audit to ensure PAs are in place for all patients as an LPN/RN.
6. In charge of PA appeals and follow up on any additional requests for documents needed for PA approval as an LPN/RN.
7. Manage and maintain tracking PA tool as an LPN/RN.
8. Performs other duties as assigned.

Benefits include:

1. Competitive Pay.