Responsibilities:
- Review and process prior authorization requests for medical procedures and treatments
- Verify insurance coverage and eligibility for patients
- Communicate with healthcare providers, insurance companies, and patients to gather necessary information for prior authorizations
- Ensure all required documentation is complete and accurate for submission
- Follow up on pending authorizations and provide updates to relevant parties
- Maintain confidentiality and adhere to HIPAA regulations when handling sensitive patient information
- Collaborate with medical billing and coding teams to ensure accurate coding and billing practices

Requirements:
- Knowledge of medical terminology, ICD-9, ICD-10 coding systems
- Experience working in a medical office setting
- Familiarity with insurance verification processes and prior authorization requirements
- Proficient in using electronic health record (EHR) systems and other relevant software applications
- Excellent communication skills, both written and verbal, to effectively interact with healthcare professionals, insurance companies, and patients
- Attention to detail and ability to accurately review and analyze medical records and documentation
- Ability to work independently and prioritize tasks in a fast-paced environment

Note: Prior authorization clerks play a crucial role in ensuring that patients receive the necessary medical treatments and procedures approved by their insurance providers. This position requires strong organizational skills, attention to detail, and the ability to navigate complex insurance processes. If you are passionate about helping patients access the care they need while ensuring compliance with regulations, we encourage you to apply.

Job Type: Full-time

Pay: $13.00 - $17.00 per hour

Expected hours: 36 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person