Prior Authorization Specialist
3 weeks ago
This is an opportunity to join a growing and well-respected practice Las Vegas Urology is currently seeking a patient-focused, detail oriented Prior Authorization Specialist to join its team. Our staff works together in supporting several clinics across the city, and has been doing so, in the Las Vegas Valley, for decades.
Benefit package includes:
- Medical, Dental, Vision & Life Insurance paid 100% for employee only, effective the first day of the month following 60 days of employment
- 401K and Profit Sharing after 1 year of employment
- PTO, accrued per paycheck
- 7 paid holidays
Summary of position: Operates phone system, contacts insurance companies to obtain authorizations to provide patients with covered visits and procedures. Enters new authorizations into the system and communicates closely with the front office staff and patients to ensure proper collection of the patient's responsibility.
Job Duties: (This list may not include all the duties assigned)
- Obtain authorizations for visits and procedures.
- Keep up with tasks assigned via EMR systems.
- Contacts patients to let them know how much they are responsible for paying at the time of visit.
- Communicates with the front office staff; notifying them what the patient owes at time of visit.
- Maintains strictest confidentiality; adhere to all HIPAA guidelines and regulations.
- Performs related work as required.
Performance Requirements: Knowledge of phone and communication procedures. Ability to read, understand and follow oral and written instruction. Ability to speak clearly and concisely with a pleasant telephone voice. Ability to establish and maintain effective working relationships with patients, employees, and the public.
Physical Demands: Requires sitting for periods of time. Some bending, lifting, and stretching required. Manual dexterity required for use of telephone and computer keyboard. While performing the duties of this job, the employee is regularly required to talk or hear. Position requires the ability to work in stressful situations.
Education: High School Diploma or GED
Experience: Two years' medical authorization experience, preferably in a clinic setting. Knowledge of medical terminology preferred.
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