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Behavioral Health Prior Authorizations

Job in North Las Vegas, Clark County, Nevada, 89095, USA
Listing for: The Voluntary Protection Programs Participants' Association, Inc
Full Time position
Listed on 2026-01-12
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 22.73 - 27.38 USD Hourly USD 22.73 27.38 HOUR
Job Description & How to Apply Below

If you have never written or submitted a mental health prior authorization, please do not apply.

Responsibilities
  • Verifying Insurance Coverage: Determining if a patient's insurance plan requires prior authorization for specific services or medications.
  • Obtaining Authorizations: Submitting requests to insurance companies for approval of medical services, procedures, or medications, and following up on the status of these requests.
  • Documenting and Tracking: Maintaining accurate records of all authorization requests, communication attempts, and outcomes.
  • Communicating with Stakeholders: Keeping patients, providers, and insurance companies informed about the status of authorization requests and any required follow-up.
  • Reviewing Medical Records: Examining patient records to assess the medical necessity of requested services and ensure compliance with insurance guidelines.
  • Identifying and Resolving Issues: Troubleshooting any issues related to prior authorization, such as denials or delays, and working to resolve them.
  • Staying Updated: Keeping abreast of changes in insurance policies and procedures related to prior authorization.
Job Types

Full-time, Contract

Pay

$22.73 - $27.38 per hour

Benefits
  • Paid time off
Work Location

In person

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