We are seeking a detail-oriented Prior Authorization Specialist to join our team. The ideal candidate will have experience in insurance verification, medical records, and medical coding. This position plays a crucial role in ensuring that patients receive timely approval for medical services.
**Responsibilities:**
- Process prior authorizations for medical procedures and services
- Verify insurance coverage and eligibility for patients
- Communicate with healthcare providers, insurance companies, and patients to gather necessary information
- Maintain accurate and up-to-date records of authorizations and denials
- Adhere to HIPAA guidelines and regulations
- Utilize ICD-9 and ICD-10 codes accurately
- Collaborate with the medical billing team to ensure accurate claims submission
- Stay updated on managed care policies and procedures
**Requirements:**
- Previous experience in a medical office setting, preferably in a dental or medical office
- Proficiency in insurance verification processes
- Knowledge of medical coding principles and practices
- Familiarity with HIPAA regulations
- Strong attention to detail and accuracy
- Excellent communication and interpersonal skills
- Ability to work efficiently in a fast-paced environment
This is a paid position with opportunities for professional growth and development. If you meet the requirements and are looking to contribute to a dynamic healthcare team, we encourage you to apply for the Prior Authorization Specialist position.
Job Types: Full-time, Part-time
Pay: $22.87 - $24.81 per hour
Expected hours: 24 – 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
Experience:
- Insurance verification: 1 year (Preferred)
Ability to Commute:
Work Location: In person