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Prior Authorization Specialist
4 months ago
'''Job Overview:
We are seeking a detail-oriented and experienced Prior Authorization Specialist to join our team. As a Prior Authorization Specialist, you will be responsible for ensuring billing and workers compensation claim information is collected, confirmed and documented accurately and in a timely manner.. Your role will involve working closely with healthcare providers, insurance companies, and patients to ensure timely approvals and accurate documentation.
**Responsibilities**:
- Verify case information by communicating with billing, injury sites and adjusters.
- Document communication with insurance carriers, physicians, law firms and patients in approved format.
- Submit prior authorization requests to insurance companies electronically or via phone/fax
- Follow up on pending authorizations and provide necessary additional information as requested
- Communicate with healthcare providers regarding any denials or additional requirements
- Maintain accurate records of all prior authorization activities in the electronic health record system
- Stay up-to-date with insurance guidelines, medical coding, and billing regulations
**Skills**:
- Proficient in medical terminology and coding (ICD-10, ICD-9)
- Familiarity with medical records and documentation requirements
- Strong knowledge of managed care policies and procedures
- Excellent attention to detail and organizational skills
- Ability to prioritize tasks and meet deadlines in a fast-paced environment
- Effective communication skills, both written and verbal
If you have experience in obtaining prior authorizations, we encourage you to apply. Join our team of dedicated professionals and contribute to providing quality healthcare services to our patients.'''
Pay: $20.00 - $21.00 per hour
Expected hours: 40 per week
**Benefits**:
- 401(k)
- Dental insurance
- Disability insurance
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
- Monday to Friday
Work Location: In person
