20 Jobs in Mc Kinney, TX
The Pain Treatment Institute is Hiring a Prior Authorization Specialist Near Mc Kinney, TX
The Authorization and Benefits Specialist is responsible for obtaining benefits and preauthorization from payors, following up on authorization requests, obtaining retroactive authorizations, and maintaining authorizations for all procedures, DME, LOP, Personal injury and workers comp.
JOB-SPECIFIC FUNCTIONS:
- Responsibilities include initiating, following up, and securing benefits and authorizations sent to third-party payors. Obtain authorization renewals
-Track and follow up on all pending authorizations at days depending upon payer guidelines to expedite the claims process and avoid lost revenue
-Process authorizations electronically, utilizing payer portals, fax, or telephone working with the payers to secure authorizations retrospectively and/or requesting single case agreements for out of network patients
-Work directly with providers to secure clinical notes and other supporting documentation required to obtain authorizations timely
-Verify authorization quantities and effective dates are returned and processed correctlyby the third-party payers, and loaded correctly in all systems
-Create and maintain centralized payer master list to record requirements by payer
-Create a payer authorization manual and tips to securing authorization
- Identify opportunities to improve authorization efficiencies electronically
- Review and interpret insurance group pre-certification requirements, ensuring that proper pre-authorizations have been obtained from the payer and documented.
- Interact with patients and third-party insurance companies to secure retroactive insurance coverage and authorizations, and/or single case agreements for out of network patients
Qualifications
-Education: High School Diploma or GED required; some college preferred.
-Experience: A minimum of 2 years in benefit verification and authorizations required. Pain management experience preferred.
-Skills: Communicates clearly and concisely, verbally and in writing, establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
- LOP and PI experience
-Ability to sustain prolonged sitting and extended computer use. Requires working under some stressful conditions to meet deadlines and to make quick decisions.
-Require hand-eye coordination and manual dexterity.
Job Type: Full-time
Pay: $18.00 - $20.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Life insurance
- Vision insurance
Weekly day range:
- Monday to Friday
Work Location: In person
Job Summary
Full Time
$39k-48k (estimate)
05/18/2024
09/14/2024
The job skills required for Prior Authorization Specialist include Coordination, 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.
Similar Jobs
Popular Articles
