Prior Authorization Coordinator

1 week ago


Harlingen, Texas, United States Optimum Pain and Medical Spa Full time

**Job Opportunity: Insurance Eligibility Verifier at Optimum Pain and Medical Spa**

We are looking for an experienced Insurance Eligibility Verifier to join our team. In this role, you will verify the eligibility of insurances and submit prior authorizations before procedures.

Main Responsibilities:

  • Resolves or clarifies codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others.
  • Identifies discrepancies in documentation.
  • Audits appeals of denied claims.
  • Maintains privacy of medical records.

Requirements:

  • High School Diploma or equivalent required.
  • One year of experience in a medical office setting preferred.
  • Good communication and computer skills.
  • Critical thinking and time management skills.

Salary Estimate: $55,000 - $70,000 per year based on location and experience.



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