What are the responsibilities and job description for the Pre-Authorization Specialist position at AMC Billing?
Insurance Authorization Specialist
Status: Full-Time
Benefits Include: Competitive pay, employer paid medical, disability and life insurance, 401K & PTO.
Job Overview
The Insurance Authorization Specialist is responsible for ensuring timely reimbursement by accurately determining covered vs. non-covered products, verifying insurance eligibility and benefits, and securing required authorizations prior to patient services.
Position Summary
This role verifies insurance benefits and eligibility, obtains prior authorizations, and serves as a professional point of contact between patients, sales staff, and insurance companies. The position requires excellent attention to detail, accurate documentation, and strong customer service skills to support pre-authorization and billing activities.
Key Responsibilities
- Contact insurance companies to verify coverage for DME products
- Obtain authorization numbers and date spans for ordered services
- Communicate benefit, co-pay, and deductible data to sales staff
- Follow up consistently on missing documentation or information
- Enter detailed notes for each product and action in the data system
- Create and confirm sales orders
- Secure valid Proof of Delivery (POD) for delivered orders
- Perform accurate data entry and 10-key entry
- Maintain HIPAA compliance and patient confidentiality
- Perform other duties as assigned
Qualifications
Education:
- High school diploma or equivalent required
- Medical terminology preferred
Experience:
- Minimum 1 year medical office or related insurance experience required
- Knowledge of insurance coverage and contract language
- Must be able to type at least 40 WPM
Desired Skills & Attributes
- Demonstrates care, respect, and compassion toward all individuals
- Takes ownership of personal and professional growth
- Proactive and solutions-oriented
- Works independently and collaboratively within a team
- Strong communication and positive work attitude
EEO Statement
This organization does not discriminate against any person based on race, color, religion, sex, sexual orientation, genetic information, gender identity or expression, national origin, age, disability, citizenship, veteran status, military or uniformed services, or any other status protected by federal, state, or local law. We comply with all applicable laws governing nondiscrimination in employment and all terms and conditions of employment, including hiring, promotion, transfer, leaves of absence, compensation, training, and termination. Applicants with a mental or physical disability who need reasonable accommodation during the application or hiring process should contact our Human Resources Director.
No phone calls please-apply online in Indeed
Job Type: Full-time
Pay: $19.00 - $23.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
Salary : $19 - $23