What are the responsibilities and job description for the Prior Authorization Specialist position at OREGON VASCULAR SPECIALISTS?
Job Overview
Oregon Vascular Specialists is seeking a detail-oriented and dependable Prior Authorization Specialist to join our team. This role is essential in ensuring that patients receive timely medical services by obtaining prior authorizations from insurance providers. The ideal candidate will thrive in a fast-paced environment, have a strong understanding of medical terminology, insurance verification, familiarity with basic medical coding and managed care processes, along with excellent communication skills to navigate interactions with healthcare providers and insurance companies as well as portal navigation.
Responsibilities
- Verify patient insurance eligibility and coverage details.
- Obtain prior authorizations and/or referrals for medical imaging and tests.
- Utilize coding knowledge and provided resources to ensure accurate documentation of diagnoses and procedures.
- Communicate effectively with healthcare professionals to gather necessary information for authorization requests.
- Maintain compliance with HIPAA regulations while handling sensitive patient information.
- Follow up on pending authorizations and referrals and resolve any issues that may arise during the process.
- Document all interactions and maintain accurate and thorough records of authorizations in the electronic medical records system.
Experience
- Prior experience working in a medical office or healthcare setting is preferred.
- Knowledge of managed care processes, insurance verification, and prior authorization procedures is highly desirable.
- Familiarity with medical terminology, medical coding (CPT, ICD-9, ICD-10), and medical records management.
- Experience with HIPAA regulation· Obtain prior authorizations and/or referrals for medical imaging and tests.
- Verify patient insurance eligibility and coverage details.
- Utilize coding knowledge and provided resources to ensure accurate documentation of diagnoses and procedures.
- Communicate effectively with healthcare professionals to gather necessary information for authorization requests.
- Maintain compliance with HIPAA regulations while handling sensitive patient information.
- Follow up on pending authorizations and resolve any issues that may arise during the approval process.
- Document all interactions and maintain accurate and thorough records of authorization requests in the electronic medical records system to ensure patient confidentiality and data security.
- Office experience involving insurance billing or medical office administration is a plus.
- Strong organizational skills with the ability to handle multiple tasks efficiently in a fast-paced environment. This position requires attention to detail, excellent communication skills, and a comprehensive understanding of healthcare administrative procedures to support optimal patient outcomes and operational efficiency.
If you are a detail-oriented and organized professional looking to make a difference in patient care, we encourage you to apply!
Job Type: Full-time
Pay: $22.00 - $28.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
Application Question(s):
- 1 year medical office experience
Education:
- High school or equivalent (Preferred)
License/Certification:
- BLS Certification (Preferred)
Work Location: In person
Salary : $22 - $28