Job Description

Job Description

Job Description

We are looking for a dynamic and friendly prior authorization specialist with a minimum of 1 years experience. This position is responsible for obtaining pre-certifications and pre-authorizations for procedures, appointments and medical exams for our patients of our surgical practice.

• Obtain pre-certifications and pre-authorizations for procedures
• Responsible for verification of patient insurance and eligibility
• Follow up on all pending authorization requests daily to ensure that authorization is received prior to surgery 
• Update authorizations as needed when insurance plans change or authorization expires
• Documents authorization notes and status in EMR
• Assist with maintaining policies & procedure documentation
• Assist with managing special projects as needed
• Document all account activity and correspond to inquiries in a timely manner
• Perform other job-related duties as directed by supervisor

Qualifications and Skills :

• Organized and detail oriented.
• Excellent time management skills
• Verify insurance coverage and eligibility.
• Review of procedure orders and documentation to determine necessity of prior auth.
• Strong communication skills with providers, team members and patients
• Excellent written communication skills
• Detailed documentation of authorization numbers and process for each prior auth
• Maintain accurate patient medical records.
• Excellent Customer Service
• Familiar with using Apple computers

What We are Looking For:

• The ability to build rapport with patients is essential.
• A willingness to be flexible and adapt as situations require.
• Ability to remain calm if patient becomes distressed.
• Personable, optimistic, resilient and possess exceptional interpersonal communication skills.
• Excellent written and spoken grammar and typing skills.
• EMR/EHR experience is required (Knowledge of AdvancedMD is preferred) 
• Keen attention to detail.
• Ability to take direction and correction as needed.
• Performs other related duties as required or assigned.
• Document all account activity and correspond to inquiries in a timely manner.
• Provide outstanding customer service to patients and develop and maintain positive working relationships with internal and other external customers.
• Verify prior authorizations and/or pre-service requirements are met.

Requirements:

• High school diploma/ GED required.
• Minimum of 1years experience required.
• The job is full-time (in the office regular and consistent attendance is required)

Job Type: Full-time

Pay: From $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance
• Paid time off
• Generous paid time off benefits (vacation, holiday and sick). Two weeks of vacation earned in year one, increasing one week each year until reaching a maximum of four weeks in year four.
• Fourteen paid holidays per year including your birthday.

Schedule:

• 8 hour shift
• Monday to Friday
• No weekends

Experience:

• Prior Authorization: 1 year (Required)
• Surgery Pior Authorization (Preferred)

Work Location: One location - Phoenix

Job Tags

Similar Jobs