Medical Prior Authorization/audit

3 weeks ago

Hilton Head Island, United States Bluffton and Hilton Head Medical Offices Full time

We are currently looking for enthusiastic and experienced individuals to join our dynamic team asBilling/Prior Auth/Admin personnel in upbeat medical offices located on Hilton Head Island and in Bluffton, South Carolina. It is a small office and several aspects of the office may need familiarizing.

Previous experience as a medical receptionist is essential, as the role will include (but is not limited to) the following responsibilities:

- Register new patients, collect and verify their personal and insurance information.
- Schedule appointments and manage the appointment calendar efficiently, coordinating with the doctor’s schedule.
- Answer phone calls, address inquiries, and provide information to patients regarding services, office hours, and appointment details.
- Verify insurance coverage, process insurance claims, and handle billing inquiries when necessary.
- Assist patients in completing necessary forms and medical history documentation.
- Manage patient records and ensure they are accurate, confidential, and up-to-date.
- Coordinate with the medical staff to ensure a smooth patient flow, including escorting patients to examination rooms.
- Collect payments and copayments from patients, providing receipts and maintaining financial records.
- Handle and distribute incoming mail, faxes, and other correspondence.
- Utilize office software and systems to schedule appointments, manage patient data, and maintain electronic health records (EHR).
- Assist with the processing of prior authorizations for tests, procedures, and medications as required.
- Maintain confidentiality and adhere to HIPAA regulations in handling patient information.

Professionalism (integrity, punctuality, exceptional customer service skills, and proficiency in computer operations/typing) is the cornerstone of this position.

Being dependable and trustworthy are non-negotiable requirements if you become part of our team.

If you believe you possess the qualifications necessary for this position, we invite you to respond with your updated resume, including current contact information.

Pay: $35,000.00 - $45,000.00 per year

**Benefits**:

- 401(k)
- 401(k) matching
- Health insurance
- Paid time off

Weekly day range:

- Monday to Friday

Application Question(s):

- Well versed with prior authorization and medical billing.

**Experience**:

- Medical records: 3 years (required)

Work Location: In person

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