Description

Assistant Prior Authorization Specialist

Reports to: Prior Authorization Specialist

We are looing for an Assistant Prior Authorization Specialist for in office procedures to join our medical office staff. In this role, you will complete authorizations and referrals for our medical services, including injectables and minor procedures. In addition to reviewing the medical history of potential patients, you will verify information provided by their referring physicians and verify their insurance coverage. You will also monitor the schedule for our add-on patients, ensuring there are no conflicts and that we will have the prior authorization we need to move forward with their appointment or procedure. You will also access multiple portals to assist patients with assistance applications. There are various payment portals you will access to obtain payment for many procedures. While we prefer candidates who have an associate degree in medical coding or a related field, we will consider anyone with experience in medical billing or insurance authorization.

Requirements

 Duties and Responsibilities: 

•  Complete authorizations and referrals for services, including appointments and procedures.
• Review patient’s medical history and insurance coverage for approval. 
• Contact referring physicians for additional information as needed.
• Input new patient information and update information in our system. 
• Monitor schedule for potential issues.
• Complete billing documentation.
•  Assist with other clerical task as needed, including but not limited to outbound calls to patients, collecting out of pocket amounts, accessing web portals for payment, scanning, inputting information as it relates to authorizations, updating and verifying insurance, etc. 

Requirements and Qualifications: 

• High school diploma or GED certificate.
• Associate degree (plus).
• Some experience in medical billing or insurance authorizations (strongly preferred).
•  Knowledge of medical terminology.
• Basic computer skills.
• Attention to detail.