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Prior Authorization Specialist

2 months ago

Salt Lake, Utah, United States Retina Associates of Utah Full time
Job Title: Prior Authorization Coordinator

Join Retina Associates of Utah, a leading retina-only ophthalmology practice, as a Prior Authorization Coordinator. In this role, you will be responsible for performing prior authorization and insurance verification functions, ensuring seamless patient care and billing processes.

Responsibilities:
  • Verify patient insurance coverage and obtain authorizations from insurance companies.
  • Utilize problem-solving skills to resolve issues with inaccurate information in the clinic financial system.
  • Communicate with patients regarding uncovered procedures, copays, and coinsurance.
  • Forward patients with outstanding balances to the Patient Accounts Specialist.
  • Provide timely verification of benefits for same or next-day appointments.
  • Maintain patient confidentiality and adhere to HIPAA regulations.
Qualifications:
  • Knowledge of current insurance companies and electronic portals.
  • Ability to prioritize tasks and work in a fast-paced environment.
  • Excellent communication and problem-solving skills.
  • Proficient in Microsoft Office Suite and medical billing software.
  • Self-directed with minimal supervision.

Retina Associates of Utah is committed to creating an inclusive work environment that celebrates diversity. We are an Equal Employment Opportunity and Affirmative Action Employer.