01Overview
Role Description
We are seeking a dedicated and capable Prior Authorization Specialist to facilitate the pre-certification process for our patient procedures. The primary responsibilities of this role include:
Updating patient registration information
Verification of benefits
Authorization/pre-certification for all procedures requiring authorization
This position plays a key role in facilitating patient care and effective information intake for billing and collections purposes. Once fully trained, this position offers the opportunity to be remote.
Outstanding employees in this role are detailed, accurate, and efficient while striving to deliver the highest level of service. Active communication and respectful collaboration with peers is vital to success. The abilities to multi-task and be flexible are essential.
Qualifications
Knowledge of medical insurance plans
Ability to work independently
Flexible and able to multi-task
Exceptional attention to detail
Ability to collaborate and communicate clearly
Ability to respectfully interact with physicians, providers, peers, and patients
Outstanding computer and internet skills
Alignment with HIPAA regulations
Respect for organizational policies, procedures, systems, and objectives
Requirements
High school diploma or equivalent
1-3 years hospital or medical office experience
2 years of medical billing experience preferred
Physical Demands
Able to sit for an extended period of time in focused work
Long periods of telephone and computer work
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