Top 12 Prior authorization specialist Jobs in Bel Air, Md

Benefits and Authorization Specialist (Chesapeake (Specialty Care)
Univ. of MD Specialty Care Network LLC —Baltimore, MD
- $18.99 - $28.51 an hour
- Remote
- Microsoft Excel
- Surgery
- Writing skills
2d
Prior Authorization Certified Pharmacy Technician
Shields Health Solutions —Baltimore, MD
- $19.45 - $22.21 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
Appointment Scheduler
The Centers for Advanced Orthopaedics LL —Baltimore, MD
- English
- Mid-level
- High school diploma or GED
Quick Apply
10d
Sr. Medical Office Coordinator (Orthopaedic Surgery)
Johns Hopkins University —Baltimore, MD
- $18.65 - $34.75 an hour
- Full-time
- Hybrid work
- Background check
- Surgery
- Mid-level
10d
Medical Office Coordinator (Neurology)
Johns Hopkins University —Baltimore, MD
- $16.20 - $28.80 an hour
- Full-time
- Background check
- Surgery
- Mid-level
Patient Access Specialist (FT DAYS)
WellSpan Hospitals in Carlisle, Newberry & Shrewsbury —New Freedom, PA
- Full-time
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Patient Access Specialist (FT DAYS)
Emerus —New Freedom, PA
- Full-time
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Customer Service Representative
Procare Ambulance of Maryland, Inc. —Rosedale, MD
- $18 - $22 an hour
- Part-time
- Basic math
- HIPAA
- Entry level
- Paid time off
- Employee assistance program
Quick Apply
Medical Receptionist - Float
Clinical Associates, P.A. —Pikesville, MD
- Full-time
- Basic math
- High school diploma or GED
- Travel
- Health insurance
- Dental insurance
Quick Apply
8d
Front Desk Receptionist
US Foot & Ankle Specialists —Baltimore, MD
- $18 - $20 an hour
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
10d
Patient Services Coordinator I (Psychiatry)(Bilingual-Spanish)
Kennedy Krieger Institute —Baltimore, MD
- Full-time
- Psychiatry
- High school diploma or GED
- 1 year
Care Coordinator - Baltimore Market
Sage Health —Woodlawn, MD
- $18 - $22 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply

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Prior Authorization Certified Pharmacy Technician
Shields Health Solutions —Baltimore, MD
✈️ Minimal in-state or out-of-state travel may be required. If the candidate's state of residence does not offer Pharmacy Technician registration, national…
$19.45 - $22.21 an hour
Quick Apply
Certified Pharmacy Technician - Specialty
Greater Baltimore Medical Center, Inc. —Baltimore, MD
Triages telephone calls / window requests. Investigation of all forms of patient advocacy-disease state funding, manufacturer coupon assistance.
$19.92 - $29.87 an hour
Quick Apply

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Care Coordinator with Prior Authorization Specialty
Perkins Spine and Sports Medicine, LLC —Dublin, OH
Employees are expected to maintain compliance with all practice policies and applicable federal and state regulations, including HIPAA, OSHA, patient…
$20 - $25 an hour
Quick Apply
6d
Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
8d

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Benefits and Authorization Specialist (Chesapeake (Specialty Care)

Univ. of MD Specialty Care Network LLC
Baltimore, MD

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Job Details

$18.99 - $28.51 an hour
2 days ago

Qualifications

Microsoft Excel
Medicare
Phone communication
Writing skills
Practice management software
Patient management software
High school diploma or GED
Telephone systems
Multi-line phone systems
Productivity software
Medical terminology
Client interaction via phone calls

Full Job Description

The Benefits Coordinator/Authorization Specialist serves as a vital link between insurance companies and clinical staff. This position is responsible for verifying patient insurance benefits, obtaining prior authorizations, and communicating information to the appropriate office personnel. The Benefits Coordinator/Authorization Specialist plays a key role in the revenue cycle by ensuring accurate benefit information is captured upfront to minimize claim denials and patient billing surprises.

Position Responsibilities: (including, but not limited to)

Insurance Verification & Eligibility

Verify patient insurance eligibility and benefits for all scheduled appointments and procedures
Confirm coverage details including deductibles, co-pays, coinsurance, and out-of-pocket maximums
Identify in-network vs. out-of-network benefits across all service lines
Document benefit information accurately in the practice management system
Communicate benefit details to office scheduling staff.
Communicate any Demographic errors with appropriate office staff.

Prior Authorization Management

Obtain prior authorizations for medical and surgical procedures across all specialties
Coordinate authorizations for specialty services including:
- Audiology Hearing Aide services
- ENT procedures (sinus surgery, tonsillectomy, septoplasty, etc.)
- Facial plastic and reconstructive surgery
- Full body plastic surgery (cosmetic vs. reconstructive determinations)
- Practice owned Ambulatory Surgery Center (ASC) facility.
- Physical Therapy for Fyzical Balance Centers
- Track authorization status and follow up on pending requests
- Maintain authorization logs and ensure timely renewals
- Work closely with Billing Specialists, Surgical Coordinators, and Clinical Managers
- Stay current on payer policies, coverage guidelines, and authorization requirements

General Responsibilities

Participate in revenue cycle meetings and process improvement initiatives
Identify and resolve billing complaints, answer questions from staff, patients and insurance companies.
Ensure departmental adherence to Medicare compliance regulations
Maintain the strictest confidentiality; adhere to all HIPAA guidelines/regulations.
Successful completion of special projects as assigned.
Participate in educational activities and attend staff meetings.
Identify and resolve billing complaints, answer questions from staff, patients and insurance companies.

Education and/or Experience

High school diploma or equivalent
Minimum 2-3 years of experience in medical billing
Strong knowledge of medical insurance plans (commercial, Medicare, Medicaid, Tricare)
Familiarity with medical terminology and CPT/ICD-10 codes
Experience with practice management systems and EHR platforms
Excellent communication and customer service skills
Knowledge of basic medical coding and third-party operation procedures and practices.
Ability to operate a multi-line telephone system and answer a telephone in a pleasant and helpful manner.
Familiarity with Microsoft applications, including, but not limited to Word and Excel.
Strong written and verbal communication skills including the ability to confidently speak to patients
Excellent organizational skills to manage multiple tasks throughout the day.
Demonstrate the ability to work as a team player in a very cohesive medical practice.
Ability to communicate and work well with co-workers. Open and honest communication.
Ability to effectively communicate orally and in writing with internal and external business professionals.
Must be responsible, reliable, and able to carry out job functions

Total Rewards

The referenced base salary range represents the low and high end of Specialty Care Networks’ salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate’s geographical location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/ training and other qualifications. Specialty Care Network offers a total rewards package that supports our employee’s life, career and retirement.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

prior authorization specialist jobs in bel air, md

Benefits and Authorization Specialist (Chesapeake (Specialty Care)

Prior Authorization Certified Pharmacy Technician

Appointment Scheduler

Sr. Medical Office Coordinator (Orthopaedic Surgery)

Medical Office Coordinator (Neurology)

Patient Access Specialist (FT DAYS)

Patient Access Specialist (FT DAYS)

Customer Service Representative

Medical Receptionist - Float

Front Desk Receptionist

Patient Services Coordinator I (Psychiatry)(Bilingual-Spanish)

Care Coordinator - Baltimore Market

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