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Medical Office Specialist

4 weeks ago

Knoxville, Tennessee, United States University Physicians Association, Inc. Full time
Job Summary:

University Physicians Association, Inc. is seeking a highly organized and self-motivated Prior Authorization Specialist to join our team. This role is responsible for obtaining prior authorizations for radiology and/or medications, scheduling appointments for outpatient imaging, and coordinating patient appointments.


Key Responsibilities:
  • Request, follow up, and secure authorizations prior to services being performed.
  • Contact insurance carriers to verify patient's insurance eligibility, benefits, and requirements.
  • Demonstrate and apply knowledge of medical terminology; high proficiency of general medical office procedures including HIPAA regulations.
  • Communicate any insurance changes or trends to the team and leadership.
  • Maintains a level of productivity suitable for the department.
  • Clearly document all communications in standardized documentation requirements.

Requirements:
  • Previous experience in a medical office setting preferred.
  • Prior experience with insurance and prior authorizations is required.
  • Prior oncology experience a plus.
  • Prior Cerner experience a plus.

What We Offer:

Full benefit package available, including PTO, Sick Leave, Medical, Dental, Vision, STD, LTD, Life Insurance, 401k with company match and immediate vesting, Critical Illness, and more.