Prior Authorization Nurse 3
1740 Creekside Oaks Drive Sacramento, CA 95833
Full time Prior Authorization Nurse openings in the Sacramento, CA 95833 area with a major healthcare company! Starting ASAP! Apply now with Luke H. at A-Line!
- Team of 4. Will be looking at all of the letters with clinical eyes. Reviewing denial letters for accuracy (Is this clear/have concise language? Is MD determination there? Is co-pay correct? Etc.). Job is primarily on computer and phone- must be computer literate. Spending most of the day in front of a computer reviewing authorizations (80% computer, 10% phone, 10% misc).
- Production expectation- “ this is a work until the work is gone type thing. The team averages about 20 letters a day”
- Roles that have done well in the position: HEDIS
- *Position will WFH from day 1* Will order equipment- the 1st day is easiest when using company equipment versus personal
Pay: $35 - $45 hourly (determined on experience and licensure)
Shift: Mon-Fri 8am-5pm or 9am-6pm
- Current California License for either RN’ s or LVN’ s
- 2-4 years PA Experience and Chart review
- Computer savvy-working with a lot of different programs and will need to toggle from screen to screen
- Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
- 401k after 1 year of employment: With employer match and profit sharing
- GREAT Hours! Monday through Friday, 40 hours per week
- Competitive Pay Rate
Keywords: Utilization Review, Utilization Management, Registered Nurse, Licensed Vocational Nurse, LPN, Licensed Practical Nurse, MCO, LVN, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls.