Prior Authorization Specialist

Description Contact insurance carriers to verify patient's insurance eligibility, benefits, and authorization requirement. Secure prior authorizations before services are performed. Communicate insurance changes/trends to team and leadership. Document all communications/contacts with providers and other personnel. Prioritize time sensitive authorizations.

Maintain proficiency in multiple EMR systems for demographics, insurance, and clinical information. Demonstrate proficiency in digital faxing, scanning, and instant messaging communication tools. Other roles and responsibilities as assigned.

Requirements

High school graduate or equivalency. Certification through NAHAM, HFMA, AHIMA and Associates Degree preferred Minimum of two years’ experience in a clinic/hospital billing, prior authorization, and/or insurance verification area, w/demonstrated payer knowledge preferred. Skills/Abilities: Demonstrated communication and customer service skills.

Ability to follow oral or written instructions. Ability to organize and interpret data; judgment, tact, diplomacy and the ability to problem solve. Work effectively in a team environment; communicate with a variety of professionals Knowledge of computers and software required Physical Requirements: Work is of light demand.

Benefits

Health Insurance Dental Insurance Vision Insurance Life Insurance Retirement Paid Time Off Tuition Reimbursement Health Savings Account Wellness Program Employee Assistance Program