Top 17 Prior authorization Jobs in Abingdon, Va

Referral/Pre-Certification Coordinator (7a-330p) - Abingdon, VA
Ballad Health —Abingdon, VA
- $16.25 - $23.13 an hour
- Full-time
- Hospital
- Writing skills
- HIPAA
7d
Referral/Pre-Certification Coordinator (8a-5p) - Abingdon, VA
Ballad Health —Abingdon, VA
- $16.25 - $23.13 an hour
- Full-time
- Writing skills
- HIPAA
- Mid-level
Scheduling and Billing Specialist (7a-330p) - Abingdon, VA
Ballad Health —Abingdon, VA
- $16.25 - $23.13 an hour
- Full-time
- Hospital
- HIPAA
- Mid-level
9d
Referral/Pre-Certification Coordinator (7a-330p) - Bristol, TN
Ballad Health —Bristol, TN
- Full-time
- Hospital
- Writing skills
- HIPAA
2d
Medical Scheduling Care Coordinator
Hopkins Medical Association —Bristol, VA
- $15 - $17 an hour
- Full-time
- Bilingual
- Microsoft Excel
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
10d
Ambulatory Medication Access Coordinator, Certified (Varied) - Bristol, VA
Ballad Health —Bristol, VA
- $15.50 - $22.09 an hour
- Part-time
- 5 years
- Mid-level
- High school diploma or GED
Dental Insurance Coordinator
Blountville Dental Associates —Blountville, TN
- $16 - $24 an hour
- Full-time
- Dental office
- Microsoft Excel
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
PRN Urgent Care Office Nurse I LPN/RMA/CMA
Holston Medical Group, PC —Abingdon, VA
- $17.37 - $26.36 an hour
- Part-time
- CPR Certification
- Vital signs
- BLS Certification
Quick Apply
OB/GYN Office Nurse I LPN/RMA/CMA
Holston Medical Group, PC —Abingdon, VA
- $17.37 - $26.36 an hour
- CPR Certification
- Vital signs
- BLS Certification
Quick Apply
Clinical Tech. (Medical Assistant)
Fast Pace Health —Bristol, TN
- Full-time
- CPR Certification
- Vital signs
- BLS Certification
- Paid holidays
- Health insurance
12h
Certified Medical Assistant - Full Time - Bristol
Frontier Health —Bristol, TN
- Full-time
- Vital signs
- Inventory management
- Customer service
2d
Endocrinology Office Nurse I LPN/RMA/CMA
Holston Medical Group, PC —Bristol, TN
- $17.37 - $26.36 an hour
- CPR Certification
- Vital signs
- BLS Certification
Quick Apply
Registered Nurse – Crisis Services - Nights
Highlands Community Services (HCS) —Abingdon, VA
- $75,000 - $77,000 a year
- 12 hour shift
- RN License
- Inpatient
- Mid-level
- Paid holidays
- Disability insurance

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Referral/Pre-Certification Coordinator (8a-5p) - Abingdon, VA
Ballad Health —Abingdon, VA
Associates Degree or bachelor's degree in Healthcare or Business-related field. Required – High School Graduate and 2 years' prior experience in the medical…
$16.25 - $23.13 an hour

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prior authorization jobs near abingdon, va

Referral/Pre-Certification Coordinator (7a-330p) - Abingdon, VA

Ballad Health -
Abingdon, VA

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Job Details

Full-time
$16.25 - $23.13 an hour
7 days ago

Qualifications

HIPAA compliance
Electronic health records (EHR) management
Phone communication
ICD coding
Writing skills
HIPAA
High school diploma or GED
Healthcare referral management
HCPCS
Clinical confidentiality policies
Medical terminology
Client interaction via phone calls

Full Job Description

Job Description:
Summary:
The Referral/Pre-Certification Coordinator Verifies and updates patient registration information in Epic. Obtains benefit verification and necessary authorizations (referrals, precertification) prior to patient arrival for all ambulatory visits, procedures, injections, and radiology services. Act as liaison between health plan and physician and/or clinic staff regarding patient complaints and patient non-compliance. Effectively communicate, collaborate, and interact with patients\plan members, multiple levels of internal personnel and external customers. Use complete knowledge of various insurances and stays current on constantly changing requirements, contracted plans, and any other pertinent information pertaining to referrals. Utilize online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility. Create appropriate referrals to attach to pending visits. Verify patient demographic information and insurance eligibility including coordination of benefits; update and confirm as necessary to allow processing of claims to insurance plans. Complete chart prepping tasks daily to ensure smooth check-in process for the patient and clinic. Research all information needed to complete registration process, obtaining information from clinicians, ancillary services, and patients. As needed, fax referral/authorization form(s) to PCPs and insurance companies in a timely manner. Review and notify front office staff of outstanding patient balances. Maintain satisfactory productivity rates and ensure the timeliness of claims reimbursement while maintaining work queue goals. Responsible for handling the collection and documentation of patient referrals from BHMA physicians for specialist care to obtain the necessary approval, preauthorization, precept, or referral from the managed care companies or other parties requiring authorization.
Respond to In-house clinician and support staff questions, requests, and concerns regarding the status of patient referrals, care coordination or follow-up status. Identify and communicate trends and/or potential issues to management team. Index referrals to patient accounts for existing patients. Create new patient accounts for non-established patients to index referrals.
Various duties as they arise.

Requirements:
Education/Experience:
Required – High School Graduate and 2 years' prior experience in the medical field.
Knowledge/Skills Abilities:
Excellent phone etiquette - verbal, written and listening skills. Must have strong customer service skills, demonstrating tact and sensitivity in stressful situations. Knowledge of medical terminology and CPT, HCPCS and ICD coding. Prior experience utilizing electronic medical records. Ability to maintain confidentiality and observe HIPAA compliance. Be able to process 60-80 referrals daily.
Preferred:
Associates Degree or bachelor's degree in Healthcare or Business-related field.

Work Requirements:
Shift: Day
On Call: No
Weekends: No
Travel Required: No Travel
Shift Details: 7a-330p
City/State: Abingdon, VA

The range for this position is $16.25-$23.13. Actual rate is dependent upon experience.

Location:
Johnston Memorial Hospital

Apply Now

Refine Your Search

prior authorization jobs in abingdon, va

Referral/Pre-Certification Coordinator (7a-330p) - Abingdon, VA

Referral/Pre-Certification Coordinator (8a-5p) - Abingdon, VA

Scheduling and Billing Specialist (7a-330p) - Abingdon, VA

Referral/Pre-Certification Coordinator (7a-330p) - Bristol, TN

Medical Scheduling Care Coordinator

Ambulatory Medication Access Coordinator, Certified (Varied) - Bristol, VA

Dental Insurance Coordinator

PRN Urgent Care Office Nurse I LPN/RMA/CMA

OB/GYN Office Nurse I LPN/RMA/CMA

Clinical Tech. (Medical Assistant)

Certified Medical Assistant - Full Time - Bristol

Endocrinology Office Nurse I LPN/RMA/CMA

Registered Nurse – Crisis Services - Nights

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