PRIOR AUTH/BENEFITS COORDINATOR

A busy, fast-paced Gastroenterology office is seeking a reliable, dependable and detail-oriented Prior Authorizations/Benefits Coordinator to join our team. Main duties to include, but not limited to obtaining prior authorizations for all outpatient procedures, insurance verifications and collecting all patient procedure pre-payments. The Prior Authorizations/Benefits Coordinator will work closely with the surgery scheduler and billing department.

***SERIOUS & QUALIFIED APPLICANTS ONLY***

Duties:

• Obtain prior authorization in accordance with established guidelines.
• Verify prior authorizations and/or pre-service requirements are met.
• Proactively manages and maintains all authorizations to ensure billing of clean claims.
• Obtain eligibility and benefits for all upcoming outpatient procedures.
• Calculate and collect patient procedure pre-payments.
• Answer multi-line phones in a professional, courteous manner.
• Schedules new and/or existing patient appointments.
• Scanning, filing and other miscellaneous office duties.

Requirements:

• Must have minimum 2 years experience verifying Nevada insurances including all HMO’s.
• Must have minimum 2 years experience in obtaining authorizations.
• Must have minimum 2 years experience in a medical physician’s office.
• Knowledge of medical terminology.
• Knowledge of EHR, Microsoft office and other general office functions.
• Gastroenterology experience is a plus.

Skills:

• Must demonstrate good judgement as well as attention to detail.
• Must be able to work independently and with a team.
• Ability to display excellent organizational and follow-up skills.
• Excellent verbal and written communication skills.
• Must be able to work well under pressure.
• Must be RELIABLE and DEPENDABLE.

Benefits:

• PTO after probationary period.
• Salary DOE.