Prior Authorization Representative
Job description
Prior Authorization Specialist Overview:
A busy Provo medical practice is seeking a motivated Prior Authorization Specialist. If you have important qualities such as organization, dependability, punctuality, reliability, strong interpersonal skills, and are enthusiastic about learning, this is the job for you. Previous experience in the medical field is a plus, but NOT required. If applicant is willing to learn, the office is willing to train the right candidate. APPLY TODAY!
The Prior-Authorization Specialist is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process. This position is part of a collaborative work team. The ideal candidate will communicate directly with appropriate clinical services, and/or insurance companies to coordinate prior authorizations. Once prior authorizations are obtained, you'll communicate with the patient to schedule.
Duties include:
Scheduling
Requesting, tracking, and obtaining pre-authorization from insurance carriers within time allotted for medical services
Requesting, following up, and securing pre-authorizations prior to services being performed
Learning which procedures require pre-authorization with different insurance companies.
Clearly documents all communications and contacts with providers, insurance companies, and the patients
Interacts with patients, physicians, office staff, or representatives to obtain required authorization information
Interacts with insurance payers to provide essential information for pre-authorization.
Inputs authorization information, patient demographic data, insurance carrier information, and other essential admission information into a database
Maintains performance measures determined reasonable for the position
Communicating any insurance changes or trends among your team
Specific knowledge/skill requirements:
Effectively and professionally communicate with patients and/or insurance companies
Multi-tasking
Customer service skills
Phone etiquette
Basic computer skills
Medical billing and coding is plus!
Shift:
The schedule is Monday through Thursday, 08:00 am-4:30 pm and Friday 08:00 am-2:00 pm in our Provo office. This is a fun and dynamic work environment! Never work another night or weekend!
Benefits Include:
Health, life, dental and vision insurance
PTO
Holiday pay
401(k) plan
Flexible Spending Account
Other great benefits.
Any previous experience in the medical field is a plus, but NOT required. If applicant is willing to learn, the office is willing to train the right candidate. Apply today!
Work Remotely
No
Job Type: Full-time
Job Type: Full-time
Pay: $18.00 - $22.00 per hour
Benefits:
401(k)
Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance
Application Question(s):
How long are you wanting to work full time? (3 months? 6 months? 1 year? more?)
Experience:
Medical office: 1 year (Preferred)
Medical billing/coding: 1 year (Preferred)
Work Location: In person