Insurance Pre-Auth Specialist
6 days ago
Job Title: Insurance Pre-Auth Specialist
">Job Summary:
">- AFC Urgent Care is seeking an experienced Insurance Pre-Auth Specialist to join our team.
- The successful candidate will be responsible for obtaining and resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all payers.
- This is a full-time position with opportunities for advancement and career growth in a dynamic and fast-paced environment.
About the Role:
">- The Insurance Pre-Auth Specialist will work closely with our healthcare team to ensure seamless communication and coordination of patient care.
- You will be responsible for reviewing and verifying patient demographic and insurance information, as well as analyzing clinical data to obtain necessary authorizations.
- Able to function independently and manage own time and work tasks, this role requires strong organizational and problem-solving skills.
Key Responsibilities:
">- Contact review organizations and insurance companies to ensure prior approval requirements are met, presenting necessary medical information such as history, diagnosis, CPT codes, and clinical notes.
- Receives and properly responds to telephone and electronic inquiries from patients, payers, physicians, and their staff, internal departments, and other persons and entities.
- Able to maintain accuracy and consistency in your work, this role requires strong attention to detail and organizational skills.
Requirements:
">- High school graduate or equivalent required; 1 year of experience in a related field preferred.
- Excellent communication and customer service skills essential for success in this role.
- Basic keyboarding skills and ability to analyze and interpret data also required.
Salary and Benefits:
">Estimated salary: $55,000 - $75,000 per year. Our comprehensive benefits package includes health, dental, and vision insurance, as well as paid time off and opportunities for professional development.
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