PART TIME JOB OPPORTUNITY-IN PERSON
Join our dynamic healthcare team as a Prior Authorization Representative, where your expertise will streamline the approval process for medical services and prescriptions. In this vital role, you will serve as the primary point of contact between healthcare providers, insurance companies, and patients to ensure timely authorization of necessary treatments. Your proactive communication skills and thorough understanding of insurance policies will help facilitate seamless patient care while maintaining strict adherence to confidentiality and compliance standards. This position offers an energetic environment where your attention to detail and problem-solving abilities make a meaningful impact on patient outcomes and provider satisfaction.
Responsibilities
- Review and process insurance prior authorization requests for medical procedures, tests, and prescriptions in accordance with health insurance policies and managed care guidelines
- Verify patient eligibility, insurance coverage, and benefits using electronic health records (EHR) systems and other digital tools
- Communicate effectively with healthcare providers to gather necessary clinical documentation and clarify authorization requirements
- Maintain accurate medical records, including documentation of authorization status, correspondence, and relevant clinical information
- Ensure compliance with HIPAA regulations and clinical confidentiality policies during all interactions and record management
- Collaborate with insurance companies to follow up on pending requests, resolve denials, and expedite approvals as needed
Skills
- Strong knowledge of health insurance policies, managed care processes, and insurance verification procedures
- Proficiency in medical terminology, medical billing, medical coding (CPT, ICD-9/10), and electronic health record (EHR) management systems
- Experience with EMR/EHR platforms for documentation and authorization tracking
- Excellent customer service skills with the ability to communicate clearly and professionally with providers, insurers, and patients
- Familiarity with clinical confidentiality policies such as HIPAA to safeguard sensitive information
- Ability to navigate Microsoft Office applications efficiently for documentation and reporting purposes
- Prior experience in a medical office or dental office setting is highly desirable for understanding clinical workflows and terminology
Join us in making a difference by ensuring patients receive the care they need swiftly while upholding the highest standards of confidentiality and professionalism. Your dedication will help improve healthcare delivery through efficient prior authorization processes!
Pay: From $16.00 per hour
Experience:
- Medical billing: 1 year (Required)
- Prior Auth: 1 year (Preferred)
Work Location: In person
