Prior Authorization Specialist (PART TIME)

Job Description

Job DescriptionDescription:

POSITION OVERVIEW

The Prior Authorization Specialist supports the Physicians, clinicians, and patients in obtaining prior authorizations for testing, procedures and surgeries. Position will be part time (20-25 hours weekly). Experience with general medical billing a plus.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Complete and monitor all prior authorizations and documentation for radiology, testing, procedures and surgeries.
• Track prior authorizations and follow up with Surgery Schedulers regarding Peer to Peer reviews with insurance carriers.
• Complete all BCMH paperwork in a timely manner.
• Maintain open communication with the Scheduler regarding their physician’s patient’s status.
• Recognize and appropriately report problems to the Accounts Receivable Manager.
• Handle other duties and special projects as assigned.

Requirements:

EDUCATION, EXPERIENCE & KNOWLEDGE REQUIREMENTS

Education

• High School Diploma or equivalent

Experience

• Minimum 3-5 years medical office experience working with insurance carriers.

Knowledge & Skills

• Proficiency in using computers and ability to learn various software.
• Superior organizational and problem-solving skills, and attention to detail
• Ability to work well in a team environment.
• Strong communication (verbal and written) skills.
• Ability to maintain a pleasant and professional demeanor.