- Review and process prior authorization requests for medical procedures, treatments, and medications- Verify insurance coverage and eligibility for requested services- Communicate with healthcare providers, insurance companies, and patients to gather necessary information for authorization- Ensure all required documentation is complete and accurate before submitting requests- Follow up on pending authorizations and provide updates to patients and healthcare providers- Maintain confidentiality of patient information and adhere to HIPAA regulations- Stay updated on changes in insurance policies, coding guidelines, and prior authorization requirements
- High school diploma or equivalent required; associate's degree in healthcare administration or related field preferred- 2 years of experience working in a medical office or healthcare setting preferred- Strong knowledge of medical terminology, ICD-9, ICD-10 coding systems- Familiarity with managed care plans and insurance verification processes- Proficient in using office software applications- Excellent communication skills, both written and verbal- Detail-oriented with the ability to prioritize tasks and meet deadlines- Ability to maintain professionalism and handle sensitive information with discretion
Note: Prior authorization experience is highly preferred.
This is a full-time position located in a medical office. Competitive pay and benefits package offered.
Please submit your resume highlighting your relevant experience to be considered for this position.
Job Type: Full-time
Pay: $17.00 - $20.00 per hour
Benefits:
Weekly day range:
Work Location: In person
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