Medical Authorization Specialist

2 days ago


Bryn MawrSkyway, Washington, United States Bryn Mawr Medical Specialists Association Full time
Precertification Specialist Job Description

Bryn Mawr Medical Specialists Association is seeking an experienced Precertification Specialist to join our team. As a key member of our Hematology team, you will be responsible for ensuring seamless patient care by managing precertifications, billing, and prior authorization.

Responsibilities:
  • Review patient chart documentation to ensure compliance with medical policy guidelines
  • Prioritize incoming authorization requests based on urgency
  • Obtain authorization through payer websites or phone calls and follow up on pending cases
  • Maintain individual payer files with up-to-date requirements for successful authorization
  • Initiate appeals for denied authorizations
  • Verify CPT and ICD-10 accuracy
  • Coordinate and confirm insurance coverage and payments for prescriptions, procedures, and services
Qualifications:
  • Precertification experience
  • Prior authorization experience
  • Insurance verification experience
  • Experience working with multiple health insurances
  • High School Diploma or equivalent
Benefits:
  • 401(k)
  • Dental insurance
  • Disability insurance
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance
Requirements:
  • 1 year of insurance verification experience (preferred)
  • 1 year of medical billing experience (preferred)

This is a full-time position with a competitive salary range of $19.00 - $21.00 per hour. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply.



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