Healthcare Pre-Authorization Associate

7 days ago


Georgetown, Delaware, United States La Red Health Center Inc Full time
Healthcare Pre-Authorization Associate

Estimated Salary: $52,000 - $62,000 per year

About the Job

We are seeking a highly skilled and detail-oriented Healthcare Pre-Authorization Associate to join our team at La Red Health Center Inc in Georgetown, Delaware.

The ideal candidate will have a strong background in medical billing and pre-authorization, with experience working with health insurance plans including Medicaid, Medicare, and private payers.

This is a full-time position that requires excellent communication and organizational skills, as well as proficiency in Microsoft Office and electronic medical records.

The successful candidate will be responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing, and coordinating patient care.

Key Responsibilities:
  • Greet and assist patients professionally and courteously in person or on the phone to provide each patient assistance with insurance authorizations.
  • Appropriately prioritize workload to ensure the most urgent cases are handled in a timely manner according to urgency.
  • Obtain authorization via payer website or by phone and follow up regularly on pending cases.
Requirements:
  • High school diploma or GED required
  • Minimum of two years' experience in medical billing/pre-authorization or insurance verification
  • Computer proficiency with Microsoft Outlook, Word, Excel required


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