Retina Associates of Utah Prior Authorization Specialist

4 weeks ago


Salt Lake, Utah, United States Retina Associates of Utah Full time
Job Title: Prior Authorization Coordinator

Retina Associates of Utah is seeking a highly skilled Prior Authorization Coordinator to join our team. As a key member of our team, you will be responsible for performing prior authorization and insurance verification functions, ensuring seamless billing and authorization processes for our patients.

Responsibilities:

  • Utilize problem-solving skills to verify inaccurate information recorded in the clinic financial system, and know when to use Availity, the insurance portal, or contact the patient.
  • Use good judgment in contacting the patient for discovered unforeseen issues, such as anticipated procedures not covered, large copays or coinsurance, or patient insurance premiums not paid.
  • Consistently forward patients with outstanding balances to a Patient Accounts Specialist.
  • Provide immediate verification of benefits as needed for same or next day added-on patient appointments.
  • Provide a completed patient verification and authorization record in a timely manner.
  • Maintain and adhere to the company's OSHA, HIPAA, and Compliance regulations.

Qualifications:

  • Must have knowledge of current insurance companies and electronic portals.
  • Ability to prioritize tasks properly.
  • Excellent communication skills.
  • Ability to work in multiple software programs/applications.
  • Answer multi-line telephones.
  • Exhibit patience and compassion.
  • Ability to work in a fast-paced environment.
  • Knowledge of billing procedures and collection techniques.
  • Excellent understanding of AR processes, third-party payer, and CMS regulations.
  • Ability to read and understand EOBs.
  • Experience using medical billing software.
  • Excellent verbal and written communication skills.
  • Proficient in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook).
  • Self-directed with ability to work with minimal supervision.
  • Dependable and consistently completes work tasks.

About Retina Associates of Utah:

Retina Associates of Utah is one of the largest and most respected retina-only ophthalmology practices in Utah, committed to preserving the patient's vision. Our surgeons have studied at renowned institutions and are board certified by the American Board of Ophthalmology. We follow all CDC and local authority protocols to ensure the safety and well-being of our patients, providers, employees, and communities.

We are proud to be an Equal Employment Opportunity and an Affirmative Action Employer, committed to creating an inclusive work environment that celebrates diversity.



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