Top 45 Prior authorization Jobs in Wilmington, Nc

Insurance Verification Specialist - 3147/Remote - Full Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- Remote
- HIPAA
- High school diploma or GED
- Organizational skills
Treatment and Authorization Representative
Waccamaw Dermatology, LLC —Wilmington, NC
- OSHA
- Customer service
- HIPAA
2d
Authorization Specialist
EMERGEORTHO, P.A. —Wilmington, NC
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
- Health savings account
- Paid holidays
Quick Apply
14d
Medical Assistant
EMERGEORTHO, P.A. —Wilmington, NC
- Overtime
- CPR Certification
- Word processing
- BLS Certification
- Health savings account
- Paid holidays
Quick Apply
Surgery Scheduler
EMERGEORTHO, P.A. —Wilmington, NC
- Full-time
- Anatomy knowledge
- Surgery
- Computer literacy
- Health savings account
- Paid holidays
Quick Apply
3d
Patient Services - Check In/Out
Wilmington Eye —Wilmington, NC
- High school diploma or GED
- Clinic
- Ability to sit for extended periods
Quick Apply
Certified Pharmacy Tech at 3147 (Hotline) - Full Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- Office
- Entry level
- Time management
Front Office Coordinator - Wilmington (New Hanov), NC
Pivot Physical Therapy —Wilmington, NC
- $15.00 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
6d
Patient Access Specialist
Novant Health —Wilmington, NC
- Weekends as needed
- High school diploma or GED
- Clinic
- Driving
2d
Imaging Assistant
EMERGEORTHO, P.A. —Wilmington, NC
- Urgently hiring
- CPR Certification
- Customer service
- Word processing
- Health savings account
- Paid holidays
Quick Apply
7d
Patient Services Representative
Eastern Nephrology Associates —Wilmington, NC
- $14.66 - $17.24 an hour
- Overtime
- Microsoft Word
- Microsoft Outlook
- HIPAA
Quick Apply
14d
CMA/EMT - GI - Silver Stream - Full-Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- CPR Certification
- Vital signs
- Computer literacy
Registered Nurse
University of North Carolina Wilmington —Wilmington, NC
- $56,907 - $64,020 a year
- Online Application
- CPR Certification
- Nursing
- RN License
2d
EMT/AEMT/Paramedic - Infusions - Silver Stream - FT
Wilmington Health PLLC —Wilmington, NC
- Full-time
- CPR Certification
- Vital signs
- Computer literacy
CMA Procedure - General Surgery - Midtown - Full Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- Vital signs
- Surgery
- Computer literacy
CNA/EMT - CCMA Program - Full Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- CPR Certification
- Vital signs
- Computer literacy
CMA Pro - Dermatology - Porter's Neck - Full Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- Vital signs
- Computer literacy
- Patient care
Dental Patient Registrar
MEDNORTH HEALTH CENTER —Wilmington, NC
- Full-time
- Dental office
- High school diploma or GED
- Children
- Health insurance
7d
CMA/EMT - Ortho - 1202 - Full-Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- CPR Certification
- Vital signs
- Computer literacy
CMA/LPN - ENT - Mayfaire/Jacksonville - Full Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- CPR Certification
- Vital signs
- Computer literacy

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Insurance Verification Specialist - 3147/Remote - Full Time

Wilmington Health PLLC -
Wilmington, NC

Apply Now

Job Details

Full-time

Qualifications

Electronic health records (EHR) management
High school diploma or GED
Health information management
Medical terminology

Full Job Description

About Wilmington Health

Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

Job Summary:

The Insurance Verification Specialist plays a critical role in ensuring that patients' insurance coverage is verified accurately and efficiently before services are provided. This position is responsible for verifying active insurance coverage, including service-specific benefits, documenting copays and deductibles, and ensuring the appropriate authorizations are in place for specified services. The Specialist will also stay current on changes in insurance regulations and maintain detailed, accurate records within the electronic health record (EHR) system.

Essential Duties/Responsibilities:

Insurance Entry and Verification

Enter insurance information into the EHR system.
Verify active insurance coverage through payer websites.
Document copay and deductible information for each patient.
Add insurance card images to patient files when available through payer websites.

Insurance Updates

Ensure that insurance is still active prior to the patient’s appointment or procedure.
Reach out to patients to resolve inactive insurance status and obtain updated information.
Verify and update copay and deductible details as necessary.
Retrieve and attach snippets of insurance cards from payer websites to ensure the most up-to-date records.

Authorization Management

Verify and document that required authorizations are in place for specific services, including Tricare, VA, special testing (e.g., MRIs, CT scans, ultrasounds), and injections.
Ensure all necessary pre-authorizations are obtained for high-risk or special procedures.

Compliance and Continuous Learning

Stay up to date with changes in insurance regulations, payer policies, and healthcare laws.
Ensure compliance with HIPAA regulations and internal policies to protect patient information.

Other Duties:

Other duties as assigned.

Qualifications:

Exceptional attention to detail and a high degree of accuracy.
Excellent verbal and written communication skills.
Strong interpersonal skills, with the ability to work effectively in a fast-paced, team-oriented environment.
Demonstrated ability to solve problems independently and manage difficult situations with patience and professionalism.
Familiarity with HIPAA regulations and ensuring confidentiality and security of patient data.
Strong organizational skills.
Adaptable to frequent changes in insurance policies.
Ability to handle multiple tasks efficiently.

Required:

Education: High school diploma or equivalent.
Experience: Prior experience in healthcare insurance verification or a related field.

Knowledge:

Strong understanding of medical terminology, various insurance plans, and billing procedures.
Proficiency in using EHR and billing software.

Preferred:

ADA Physical Demands:

Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)

Physical Demand

Required?

Frequency

Standing

Occasionally

Sitting

Continuously

Walking

Rarely

Kneeling/Crouching

Lifting

Apply Now

Refine Your Search

prior authorization jobs in wilmington, nc

Insurance Verification Specialist - 3147/Remote - Full Time

Treatment and Authorization Representative

Authorization Specialist

Medical Assistant

Surgery Scheduler

Patient Services - Check In/Out

Certified Pharmacy Tech at 3147 (Hotline) - Full Time

Front Office Coordinator - Wilmington (New Hanov), NC

Patient Access Specialist

Imaging Assistant

Patient Services Representative

CMA/EMT - GI - Silver Stream - Full-Time

Registered Nurse

EMT/AEMT/Paramedic - Infusions - Silver Stream - FT

CMA Procedure - General Surgery - Midtown - Full Time

CNA/EMT - CCMA Program - Full Time

CMA Pro - Dermatology - Porter's Neck - Full Time

Dental Patient Registrar

CMA/EMT - Ortho - 1202 - Full-Time

CMA/LPN - ENT - Mayfaire/Jacksonville - Full Time

I want to receive the latest job alert for prior authorization in wilmington, nc

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