Is facilitating a safe and healing patient environment your passion?
We are looking for a dedicated and motivated self-starter that finds meaning and work satisfaction in providing the very vital services that facilitate the releif and healing that our procedures and therapeutic modalities bring to our patients.
About Us:
We are a busy physician group looking for a dynamic team player interested in utilizing their skills and abilities to support our mission of bringing high-quality care and healing to our patients.
Each member of our staff is an integral part of our dynamic and collaborative team that holds a wide range of interdisciplinary skills and abilities. If you have a positive/upbeat, can-do attitude and enjoy working with team-centered, patient-focused and all around fun teams then this is the office for you. A breif description of what the day to day might look like is listed below.
Position: The Prior Authorization Specialist works under the general direction of the Practice Administrator and is a member of a dynamic team focused on coordinating all aspects of patient care. The role provides continuity of care by ensuring a smooth procedure and medication authorization process.
Job Summary
We are seeking a dedicated and detail-oriented Care Coordinator specializing in Prior Authorization to join our healthcare team. In this vital role, you will serve as a bridge between patients, healthcare providers, and insurance companies to facilitate timely approvals for medical services and procedures. Your expertise will ensure smooth communication, accurate documentation, and adherence to healthcare policies, ultimately enhancing patient care and operational efficiency. This position offers an exciting opportunity to make a meaningful impact in a fast-paced, patient-centered environment.
Duties
- Manage insurance prior authorization requests by verifying coverage details and submitting necessary documentation promptly.
- Collaborate with healthcare providers to gather medical records, clinical notes, and supporting documents required for authorization processes.
- Utilize CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems accurately to support claims and authorization submissions.
- Maintain compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations to protect patient confidentiality and ensure data security.
- Track and document all authorization activities within Electronic Health Records (EHR) systems using Microsoft Office tools for reporting and record-keeping.
- Communicate effectively with insurance companies, providers, and patients to resolve authorization issues or delays proactively.
- Stay informed about current health insurance policies, managed care practices, and industry regulations to ensure accurate processing of requests.
Qualifications
- Proven experience in medical office administration, health insurance verification, or related roles within a healthcare setting.
- Strong knowledge of HIPAA regulations, medical terminology, medical records management, and clinical confidentiality policies.
- Proficiency in CPT coding, ICD coding (ICD-9/ICD-10), medical billing, and insurance prior authorization procedures.
- Familiarity with Electronic Health Records (EHR) systems and Microsoft Office applications for documentation and communication purposes.
- Excellent customer service skills with the ability to communicate clearly and professionally with diverse stakeholders.
- Understanding of health insurance policies, managed care systems, and the nuances of insurance verification processes.
- Ability to handle sensitive information discreetly while maintaining accuracy under tight deadlines.
This role is perfect for motivated professionals eager to contribute their expertise in health insurance processes while supporting patient-centered care initiatives. Join us in making a difference by ensuring that patients receive the services they need efficiently and compliantly!
Core Competencies
The essential qualities necessary include, but are not limited to:
o Dependable
o Team player
o Takes initiative
o Professional demeanor
o Excellent oral and written communication skills
o Time management, multi-tasking, effective prioritization/organization skills and follow through
o Ability to work independently, with little supervision
o Ability to exhibit cooperation, flexibility, and provide assistance when interfacing with patients, physician and staff
o Maintains a high level of urgency when attending to patient care matters and daily tasks
o Maintains a positive, resourceful attitude towards providers, patients and staff
Physical Requirements
o Sit for long periods of time
o Lift 10-15 lbs
o Spend long periods of time at computer
Work Environment
This position works in a fast-paced outpatient specialty medical practice requiring frequent interaction with patients, providers, insurance companies, and outside healthcare organizations. The ability to multitask while maintaining professionalism and exceptional customer service is essential.
Compliance
Employees are expected to maintain compliance with all practice policies and applicable federal and state regulations, including HIPAA, OSHA, patient confidentiality, and workplace safety standards.
Our Commitment
At Perkins Spine and Sports Medicine, every team member contributes to the patient experience. We are committed to delivering compassionate, high-quality care while treating every patient with professionalism, respect, and integrity. Employees are expected to foster a positive, collaborative work environment and represent the practice with excellence in every interaction.
Location:
This role is located in our Dublin office
- some flex time available, after 90 days and with prior approval
- some hybrid remote is available, after 90 days and with prior approval
Hours: Roughly 32-40 hours a week
Clinic Hours:
Monday - Thurday 8am-4p
Friday 8am-12pm
Benefits:
- Positive and uplifting working environment
- Room for growth in skills and abilities
- Flexibility of hours, taking into account business need & approval from Practice Administrator
- Four weeks PTO - observed holidays do not draw from PTO bank
- 8 Paid holidays (for dates that fall on a typical day worked)
- 3% year end 401K employer contribution after 1 year probationary period
- Medical, dental, vision available - paid at 50% employer contribution
Pay: $20.00 - $25.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Health savings account
- Paid time off
- Retirement plan
- Vision insurance
Work Location: Hybrid remote in Dublin, OH 43016
