1 Prior Authorization Specialist Job in Brookline, MA
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Richard A Bartlett MD is Hiring a Prior Authorization Specialist Near Brookline, MA
Job Overview:
We are seeking a detail-oriented and experienced Prior Authorization Specialist to join our team. As a Prior Authorization Specialist, you will be responsible for obtaining and verifying insurance authorizations for medical procedures and services. Your role will involve working closely with healthcare providers, insurance companies, and patients to ensure timely and accurate authorization approvals.
Duties:
- Review and verify insurance coverage and benefits for patients
- Obtain prior authorizations from insurance companies for medical procedures, treatments, and medications
- Communicate with healthcare providers to gather necessary documentation for authorization requests
- Submit authorization requests to insurance companies and follow up on the status of pending requests
- Maintain accurate records of authorization approvals, denials, and appeals
- Collaborate with billing department to ensure proper coding and billing practices
- Stay updated on insurance policies, guidelines, and industry regulations related to prior authorizations
- Provide excellent customer service to patients by addressing their questions and concerns regarding authorizations
Experience:
- Previous experience in a medical office or healthcare setting is preferred
- Strong knowledge of medical terminology, coding, and insurance verification processes
- Familiarity with managed care plans and their prior authorization requirements
- Proficiency in using electronic medical record (EMR) systems and other relevant software applications
- Understanding of HIPAA regulations and ability to maintain patient confidentiality
- Knowledge of ICD-10 coding system is a plus
If you are a detail-oriented individual with excellent organizational skills and a passion for ensuring patients receive the necessary medical care, we encourage you to apply for the Prior Authorization Specialist position. Join our team and contribute to improving patient outcomes through efficient prior authorization processes.
Job Type: Full-time
Pay: $25.00 - $28.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
Weekly day range:
- Monday to Friday
- No weekends
Education:
- Bachelor's (Preferred)
Ability to Commute:
- Brookline, MA 02445 (Required)
Work Location: In person
Job Summary
Full Time
$42k-52k (estimate)
04/04/2024
04/28/2024
richardabartlettmd.com
Brookline, MA
<25
Related Companies
The job skills required for Prior Authorization Specialist include Prior Authorization, Customer Service, Billing, Managed Care, HIPAA, Confidentiality, 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.
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