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Prior Authorization Specialist

2 months ago

Tucson, Arizona, United States The Temp Connection Full time
Prior Authorization Specialist Job Description

The Temp Connection is seeking a skilled Prior Authorization Specialist to join our team. As a Prior Authorization Specialist, you will play a critical role in obtaining pre-authorizations from insurance carriers, ensuring seamless patient care and efficient revenue cycle management.

Key Responsibilities:
  • Input data accurately and efficiently into the EMR software.
  • Review daily schedules to determine which payors require prior authorization.
  • Review clinical data matching it against specified medical terms and diagnoses or procedure codes and follow established procedure for authorization request.
  • Communicate with the scheduling department to ensure they are aware of authorization requirements.
  • Contact patients to inform them of denied authorization requests and work with them to obtain prior authorization from their insurance carrier.
  • Perform light administrative duties and other tasks as assigned by the Revenue Cycle Manager.
Requirements:
  • Minimum two years' experience in Medical Insurance billing.
  • Minimum of one-year experience with prior authorization experience (healthcare preferred).
  • Computer skills including web browsing, Excel, and EMR software.
  • Excellent verbal and written communication skills.
  • Knowledge of medical terminology, CPT codes, and ICD-10.
  • Ability to analyze data and provide accurate information to insurance companies.
  • Ability to respond to questions in a professional and tactful manner.
Benefits:
  • Medical, Dental, Vision, 401k.