Prior Authorization Specialist

4 days ago


Atlanta, Georgia, United States Prestige Staffing Full time
Job Overview

Prestige Staffing is seeking a skilled Prior Auth Specialist to join our team. As a Prior Auth Specialist, you will be responsible for scheduling procedures and surgeries, obtaining benefits and eligibility for professional fees, and ensuring all necessary documentation is completed.

Responsibilities
  • Initiate and follow up on precertification for commercial payers
  • Obtain benefits and eligibility for professional fees from the insurance company
  • Ensure all DME and MRI/X rays/CT scans are forwarded to the facility prior to the surgery date
  • Consult with patients to schedule surgery and/or procedures
  • Collect any surgery deposits and assist patients with setting up payment plans
  • Enter the date of surgery and post-operative visits in the EMR System
  • Email a surgery packet to patients including pre-op and surgery instructions
  • Coordinate COVID-19 tests for non-vaccinated patients
  • Coordinate surgery with other physicians and vendors
  • Assist with clinic and patient workflow as needed
  • Document authorizations in EMR
Requirements

To be successful in this role, you will need excellent communication and organizational skills, as well as the ability to work in a fast-paced environment. Prior experience in a similar role is preferred, but not required.



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