Prior Authorization Specialist

OverviewJob SummaryWe are seeking a detail-oriented and knowledgeable Prior Authorization Specialist to join our team. In this role, you will be responsible for managing the prior authorization process for medical procedures and services, ensuring compliance with insurance requirements while facilitating timely patient care. The ideal candidate will have a strong understanding of medical terminology, coding, and insurance verification processes.ResponsibilitiesReview and process prior authorization requests for medical services and proceduresCommunicate with healthcare providers, patients, and insurance companies to gather necessary informationVerify patient eligibility and benefitsUtilize medical coding knowledge (ICD-10) to accurately document procedures and diagnosesEnsure compliance with HIPAA regulations while handling sensitive patient informationMaintain accurate records of all authorization requests and follow up on pending authorizationsCollaborate with dental and medical offices to streamline the authorization processProvide support in resolving any issues related to denied authorizations or appealsExperiencePrevious experience in a medical office setting is preferredProficiency in medical terminology and coding practices is essentialFamiliarity with managed care processes and insurance verification is highly desirableStrong organizational skills with attention to detail to manage multiple requests efficientlyExcellent communication skills, both verbal and written, to effectively interact with various stakeholdersJoin our team as a Prior Authorization Specialist where your expertise will contribute significantly to our commitment to providing exceptional patient care.Job Type: Full-timeBenefits:Dental insuranceFlexible spending accountHealth insuranceLife insurancePaid time offVision insurance401KAflac Work Location: In personJoin us in making a difference in our patients' lives by providing exceptional care coordination!People with a criminal record are encouraged to applyThis description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member. No Third Party Agencies or Submissions Will Be Accepted. Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.Powered by JazzHRglyzXFEQvQ apply to this job