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**Job Overview:**
We are seeking a detail-oriented Prior Authorization Specialist to join our team. The ideal candidate must have experience in medical office settings and possess knowledge of medical terminology, coding, the insurance claims process, and insurance verification. This position is heavily focused on ultrasound and surgical procedure prior authorizations.
**Responsibilities:**
- Process prior authorization requests for medical procedures and services.
- Verify insurance coverage and ensure all necessary documentation is complete
- Communicate with healthcare providers, office staff, insurance companies, and patients regarding authorization status
- Maintain accurate records of authorizations and follow-up activities
- Ensure compliance with HIPAA regulations and company policies
- Collaborate with medical staff to obtain additional information for authorization requests
**Qualifications:**
- Previous experience in a medical office setting
- Familiarity with ICD-9 and ICD-10 coding systems
- Proficient in insurance verification procedures
- Knowledge of medical records management and terminology
- Strong attention to detail and accuracy in data entry
- Excellent communication skills for interacting with various stakeholders
- Ability to work efficiently in a fast-paced environment
This position offers the opportunity to work in a dynamic healthcare environment where your skills will be valued. If you meet the qualifications and are looking to contribute to a dedicated team, we encourage you to apply for the Prior Authorization Specialist role.
Job Type: Full-time
Pay: $16.00 - $19.00 per hour
Benefits:
Weekly day range:
Ability to Relocate:
Work Location: In person
Full Time
$36k-43k (estimate)
05/01/2024
05/01/2024
The job skills required for Prior Authorization Specialist include Prior Authorization, HIPAA, Data Entry, Health Insurance, Communication Skills, Attention to Detail, etc. Having related job skills and expertise will give you an advantage when applying to be a Prior Authorization Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Prior Authorization Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Prior Authorization Specialist positions, which can be used as a reference in future career path planning. As a Prior Authorization Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Prior Authorization Specialist. You can explore the career advancement for a Prior Authorization Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Prior Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Prior Authorization Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Prior Authorization Specialist job description and responsibilities
Request, follow up and secure prior-authorizations prior to services being performed.
04/09/2022: Laramie, WY
Receive requests for pre-authorizations and ensure that they are properly and closely monitored.
03/28/2022: Schenectady, NY
Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.
02/27/2022: Wichita, KS
Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.
04/08/2022: Altus, OK
Reported to supervisor to assure accurate capture of services needing authorization.
02/05/2022: Dothan, AL
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Prior Authorization Specialist jobs
Prior Authorization Specialist must have excellent computer skills including Excel, Word, and Internet use.
02/12/2022: New Britain, CT
A good Prior Authorization Specialist are those who are detail oriented with above average organizational skills.
03/28/2022: Galveston, TX
Basic understanding of human anatomy, specifically musculoskeletal would also give you benefits for this role.
04/04/2022: Lebanon, PA
Some experience in medical billing or insurance authorization are strongly preferred by most employers.
03/10/2022: Jamestown, NY
Licenses and certifications are not usually required to work as a prior authorization specialist.
04/02/2022: Mcallen, TX
Step 3: View the best colleges and universities for Prior Authorization Specialist.