Urology Prior Authorization Specialist

7 days ago


Las Vegas, Nevada, United States Las Vegas Urology LLP Full time
Job Title: Prior Authorization and Patient Financial Advisor

We are seeking a highly skilled and detail-oriented Prior Authorization and Patient Financial Advisor to join our team at Las Vegas Urology LLP. As a key member of our staff, you will play a crucial role in ensuring seamless patient care and financial management.

Key Responsibilities:
  • Contact insurance companies to obtain authorization for specialty procedures and provide benefit breakdowns to patients prior to treatment.
  • Enter authorizations into the system and communicate closely with front office staff and patients to ensure proper collection of patient responsibilities.
  • Process requests from staff for patient insurance verification, including but not limited to OP office procedures, injectables, and oncology.
  • Verify insurance coverage prior to patient treatment and notify the doctor's office if coverage cannot be verified.
  • Reschedule appointments if authorization is not obtained.
  • Perform quality control checks on patient accounts to ensure all required documentation is correct.
  • Treat coworkers and customers with patience and respect.
  • Assist other staff members and support the team approach.
  • Arrive on time and maintain consistent attendance.
  • Participate in educational activities and attend monthly staff meetings.
  • Maintain confidentiality and adhere to HIPAA guidelines and regulations.
Requirements:
  • Two years' medical authorization experience, preferably in a clinic setting.
  • Knowledge of medical terminology preferred.
  • Ability to work in a multi-task, high-energy environment.
  • Ability to prioritize tasks and be proactive in initiating processes.
  • Strong organizational skills and attention to detail.
  • Ability to communicate effectively with management, coworkers, and physicians.
Physical Demands:

This role requires sitting for periods of time, with some bending, lifting, and stretching required. Manual dexterity is necessary for use of the telephone and computer keyboard. The ability to work in stressful situations is also required.



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