- Review and process prior authorization requests for medical procedures, treatments, and medications- Verify insurance coverage and eligibility for requested services- Communicate with healthcare providers, insurance companies, and patients to gather necessary information for authorization- Ensure all required documentation is complete and accurate before submitting requests- Follow up on pending authorizations and provide updates to patients and healthcare providers- Maintain confidentiality of patient information and adhere to HIPAA regulations- Stay updated on changes in insurance policies, coding guidelines, and prior authorization requirements
- High school diploma or equivalent required; associate's degree in healthcare administration or related field preferred- 2 years of experience working in a medical office or healthcare setting preferred- Strong knowledge of medical terminology, ICD-9, ICD-10 coding systems- Familiarity with managed care plans and insurance verification processes- Proficient in using office software applications- Excellent communication skills, both written and verbal- Detail-oriented with the ability to prioritize tasks and meet deadlines- Ability to maintain professionalism and handle sensitive information with discretion
Note: Prior authorization experience is highly preferred.
This is a full-time position located in a medical office. Competitive pay and benefits package offered.
Please submit your resume highlighting your relevant experience to be considered for this position.
Job Type: Full-time
Pay: $17.00 - $20.00 per hour
Benefits:
Weekly day range:
Work Location: In person
Operations Manager General Administrative Location Berlin, NJ : We are Builders FirstSource... ...the future of home building and help make the dream of home ownership more achievable... ...both to and from the location in the most timely, productive and cost effective method possible...
...Company : Client offers an opportunity for you to bring your structural steel design experience to a rapidly growing company. We... ...About the Role : We are seeking a Structural Steel Design Engineer with a focus on ut ility structures such as transmission poles...
Designer Role **Must take PPT/MS Office Assessment if shortlisted 1st Shift: 7am to 3:30 pm ( hour unpaid lunch) Live Deal projects Will need experience with PowerPoint, Excel, Illustrator, Photoshop Training in PowerPoint can occur for 3-4 weeks, but...
Position: CT Tech - Travel Location: Napa, CAArise CareStaff is looking for an experienced CT Tech to work for our client healthcare facility in Napa, California Details: Start Date: 06/16/2025Shift: Day (4x10 Hours) 7:30 - 18:00Type of Assignment: Travel...
...is a rapidly expanding metals distributor headquartered in Tampa, FL, serving the southeastern United States. Our sales and distribution centers are strategically located in Tampa, FL, Charlotte, NC, Jacksonville, FL, Loxley, AL, and Tomball, TX. Founded by a team of seasoned...