Prior Authorization Specialist
7 days ago
We are seeking a highly skilled Prior Authorization Specialist to join our team at Team1Medical. As a Prior Authorization Specialist, you will play a critical role in ensuring that our patients receive the necessary medical care and services.
Key Responsibilities- Pre-Certification and Prior Authorization: Comply with pre-certification information and forward it to the insurance company to establish medical necessity and prior approval.
- Insurance Verification: Perform regular follow-up calls with insurance companies to check the status of the prior authorization request.
- Patient Communication: Notify patients of any deductible and coinsurance due at the time of service.
- Additional Information: Contact patients directly when necessary to obtain additional insurance information.
- Education: A High School Diploma or GED is required.
- Experience: Three (3) years of experience is required.
- Background: Experience in an ambulatory center or hospital setting is highly preferred.
- Technical Skills: EMR: eCW experience is a strong plus.
- Work Schedule: Monday - Friday, 8:00 a.m. to 5:00 p.m., with no weekends.
- Benefits Package: Generous benefits package after 90 days of employment, including 401K matching, PTO, and 100% paid health insurance.
- Additional Benefits: During employment with Team1Medical, you can enroll in our benefits program, including medical (3 plans to choose from), dental, disability, critical illness, life, vision, accident, and behavioral health insurance. Additional benefits include 401K, direct deposit, and our referral bonus program.
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Medical Authorization Specialist
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