Job Overview:
We are seeking a detail-oriented Prior Authorization Specialist to join our team. The ideal candidate will have a strong background in insurance verification and medical coding, ensuring timely processing of prior authorization requests.
Responsibilities:
- Verify insurance coverage and obtain prior authorizations for medical procedures
- Review and process prior authorization requests according to established guidelines
- Communicate with healthcare providers, insurance companies, and patients regarding authorization status
- Maintain accurate and detailed records of authorization requests and approvals
- Ensure compliance with HIPAA regulations and medical coding standards
- Collaborate with the medical team to resolve any authorization issues promptly
Skills:
- Proficiency in medical terminology, ICD-9, ICD-10 coding systems
- Experience in insurance verification and prior authorization processes
- Knowledge of medical records management and medical office procedures
- Familiarity with HIPAA regulations and patient confidentiality
- Strong attention to detail and accuracy in data entry
- Excellent communication skills to interact effectively with healthcare professionals, insurance providers, and patients
If you have a passion for healthcare administration and possess the required skills, we invite you to apply for this rewarding position as a Prior Authorization Specialist.
Job Type: Full-time
Pay: $22.00 - $23.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
- Monday to Friday
- No weekends
Work Location: In person