Randstad Prior Authorization Representative in Linthicum Heights, Maryland

Prior Authorization Representative

job details:

  • location:Linthicum Heights, MD

  • salary:$15 - $17 per hour

  • date posted:Tuesday, November 27, 2018

  • experience:Entry Level

  • job type:Temp to Perm

  • reference:S_708542

  • questions:benjamin.carley@randstadusa.com410-312-4974

job description

Prior Authorization Representative

One of our top clients in the Baltimore, MD area is actively seeking Prior Authorization Representatives to join their team.

-Prior Authorization or medical insurance processing/billing experience preferred

-Previous Optometry and/or Ophthalmology experience preferred


-Authorization of surgical requests according to set plan guidelines

-Respond to telephone inquiries from members and/or providers for Optometry

and Ophthalmology services as well as DME

-Verification of eligibility, confirmation of benefits, facilitation of the

referral/authorization processes

-Direct communication with the Medical Director with regard to surgical

authorizations and non-standard services

-Preparation and coordination of denial letters

-Assist with other duties as may be assigned

-Create and maintain master spreadsheet to record all surgical procedures,

denials, approvals

-Other duties as assigned

Working hours: 8:00 PM - 5:00 PM


-Computer literate with an emphasis on MS Office products required, with

emphasis on Microsoft Excel

-Highly organized individual with attention to detail

-Excellent customer service and phone communication skills (friendly, courteous

and helpful)


No Degree Required


Entry Level


-Excellent interpersonal verbal and written communication skills

-Well organized and resourceful

-Accurate and efficient data entry skills

-Resolution and follow-up skills

-Skilled in dealing with all customers in an efficient and effective manner

Qualified applicants please send your resume in Word or PDF format to Stefanie.beck@randstadusa.com

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.