NHS Human Services, Inc.

Pre-Authorization Specialist

This is a remote position open to any qualified applicant in the United States.

Job Overview:

Cognizant is looking to add a Pre-Authorization Specialist to our growing patient service team. The main function of the Pre-Authorization Specialist is to verify benefit eligibility, review/summarize orders, acquire prior authorization(s) and partner with respective Sales Representatives for pre-authorization approvals. You will partner with a company that designs, manufacture, and market products used primarily by musculoskeletal medical specialists in both surgical and non-surgical therapy. Your skills are needed, are you interested? If so, please apply in order to be considered. We look forward to reviewing your application!

This position will work CST hours where you will be assigned one of the following shifts based on business need:

• 7am-4pm

• 8am-5pm

• 10am-7pm

Required Qualifications:

• High School Diploma or equivalent experience

• 6+ months of customer service experience

• Digital literacy skills

• Excellent written and verbal communication skills

• Strong attention to detail

Preferred Qualifications

• Medical/Health Insurance knowledge

• Medicare background

Responsibilities:

• Review orders, summarize medical portion of the file

• Makes and receives calls from health insurance companies to verify eligibility and benefits

• Acquire medical chart notes from reps/ thru doctors and contact payers to acquire pre- authorization

• Verify secondary pre authorization through documentation links if any

• Finalize the case and allow the application of the product on the patient

• Maintain confidentiality of any confidential medical records or patient information

• Operate in strict compliance with all applicable laws

The hourly rate for this position is $18 per hour, depending on experience and other qualifications of the successful candidate.

This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.

Benefits : Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

• Medical/Dental/Vision/Life Insurance

• Paid holidays plus Paid Time Off

• 401(k) plan and contributions

• Long-term/Short-term Disability

• Paid Parental Leave

• Employee Stock Purchase Plan

Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Cognizant will only consider applicants whom are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.

Cognizant is an equal opportunity employer that embraces diversity, champions equity and values inclusion. We are dedicated to nurturing a community where everyone feels heard, accepted and welcome. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other protected characteristic as outlined by federal, state or local laws.