Authorization Specialist
1 week ago
At Center for Orthopedic and Research Excel, we pride ourselves on being a leading provider in orthopedic care. Our commitment is to enhance the health and well-being of our patients by providing top-notch services tailored to their needs.
We are currently seeking a Prior Authorization Specialist to join our dedicated team. This role is crucial in ensuring that our patients receive the necessary authorizations and benefits verification prior to their appointments.
Key Responsibilities- Conduct pre-registration and registration processes, ensuring accurate eligibility verification and benefit documentation.
- Communicate effectively with patients and insurance providers to gather essential demographic and reimbursement information.
- Utilize online verification systems to confirm real-time eligibility and ensure accuracy.
- Respond to inquiries from healthcare providers and support staff regarding the status of prior authorizations.
- High school diploma or equivalent is required.
- A minimum of two to three years of experience in a healthcare setting, specifically in prior authorization.
- Strong communication skills to interact with patients, physicians, and insurance representatives.
- Comprehensive understanding of managed care insurance and the prior authorization process.
- Ability to manage multiple tasks in a fast-paced environment while maintaining attention to detail.
- Proficient in computer applications, particularly in navigating Windows-based programs.
- Knowledge of insurance plan requirements for both Medicaid and commercial plans.
This position is based in a standard office environment, requiring both sitting and standing, along with some manual dexterity for computer and calculator use.
Note: This job description serves as a guideline for the responsibilities and qualifications of the role. Duties and requirements may evolve as the needs of the organization change.
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Authorization Specialist
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