Prior Authorization Representative
Job description
Includes interacting with physicians, insurance payers, families and patients so excellent communication skills plus customer service are needed. Responsibilities include (but not limited to) reaching out to multiple insurances to obtain prior authorizations for patients, arranging peer to peer reviews upon request. Insurance Verification experience required. Prioritizes incoming Prior Authorization request as needed. Collaborates with other departments to ensure documentation is received prior to services received. Oversees incoming request, including authorizing specified services and work flow guidelines. Meet turn-around time frames for authorization guidelines. Communicates and Oversees communication with scheduling, staff and physicians on needed CPT code information. Initiates and completes appeals for denied procedures. Documents authorization and progression of authorization. Knowledge of medical billing process preferred and other duties as assigned.
2 Full time positions. 40 hours weekly. 8 am – 4:30 pm
Job Type: Full-time
Pay: $16.00 - $23.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
Work Location: In person
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