Top 40 Prior authorization specialist Jobs in Chevy Chase, Md

Scheduler & Authorization Specialist
The Centers for Advanced Orthopaedics LL —Chevy Chase, MD
- $21 an hour
- English
- Mid-level
- High school diploma or GED
Quick Apply
Pre-Registration Specialist, Per Diem
Samaritan —Washington, DC
- $21.10 - $26.26 an hour
- Part-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
Quick Apply
Payor Clearance Specialist
Children's National Hospital —Silver Spring, MD
- $48,672 - $81,120 a year
- Full-time
- Bilingual
- Mid-level
- 3 years
12d
Revenue Cycle Denial Specialist
United Theranostics —Bethesda, MD
- $27 - $30 an hour
- Full-time
- Writing skills
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Billing Support Specialist I
GeneDx —Gaithersburg, MD
- $23.50 - $25.50 an hour
- Bilingual
- Writing skills
- Office
Staff Assistant
US Architect of the Capitol —Washington, DC
- $85,447 - $133,142 a year
- Online Application
- Background check
- Pass drug screening
- Office
- Paid holidays
- Loan repayment program
2d
Coordination Specialist
Peraton —Annapolis Junction, MD
- $112,000 - $179,000 a year
- Bachelor of Science
- 11+ years
- Bachelor's degree
- Health savings account
- Paid holidays
Office Management Specialist
Social Impact —Washington, DC
- Full-time
- Microsoft Excel
- Microsoft Outlook
- English
- Travel reimbursement
PDN Home Health Authorization Specialist
COMFORT HOME HEALTH LLC —Falls Church, VA
- $25 - $30 an hour
- Full-time
- Hybrid work
- Spanish
- HIPAA
- English
- Health insurance
- 401(k)
Quick Apply
11d
Insurance Authorization Specialist
VSI —Reston, VA
- From $23 an hour
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Paid time off
- 401(k) matching
Quick Apply
Authorization & Verification Specialist - Acute Team
ContinuumRx —Chantilly, VA
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
Quick Apply
Deployment Strategist - Palantir Foundry
Accenture Federal Services —Washington, DC
- $126,300 - $243,100 a year
- Mid-level
- Analysis skills
- Travel
Cardiovascular Scheduler, Day Shift, Cardiology
Adventist HealthCare —Silver Spring, MD
- $20.07 - $26.42 an hour
- Full-time
- Bilingual
- Hospital
- Customer service
- Free parking
- AD&D insurance
2d
Intake/Staffing Coordinator
Prospect Homecare Agency —Fairfax, VA
- From $65,000 a year
- 8 hour shift
- Background check
- Customer service
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
10d
Surgical Coordinator - Hybrid
Pelvic Rehabilitation Medicine —Falls Church, VA
- $24 - $28 an hour
- Full-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
Quick Apply
Registration Coordinator
OrthoVirginia Inc —Reston, VA
- $19.46 - $29.19 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
Quick Apply
Front Office Coordinator - Silver Spring (Aspen Hill), MD
Pivot Physical Therapy —Silver Spring, MD
- $17.65 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
9d
Benefits & Auth for Physical Therapy
RSI-Rehabilitation Services, Inc. —Laurel, MD
- $23 - $29 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
scheduling specialist
RAYUS Radiology —Woodbridge, VA
- Full-time
- Bilingual
- Computer literacy
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Front Office Coordinator - Washington (U St), DC
Pivot Physical Therapy —Washington, DC
- $17.95 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
3d

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Scheduler & Authorization Specialist

The Centers for Advanced Orthopaedics LL
Chevy Chase, MD

Quick Apply

Job Details

$21 an hour

Qualifications

Database systems
Employee relationship building
English
High school diploma or GED
Typing
Productivity software
Cross-functional collaboration
Medical terminology

Full Job Description

Position Summary/Scope of Responsibility

The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. With approximately 2,000 employees, working in 28 Divisions, CAO is a growing business with revenues of approximately $250 Million. CAO is committed to be the Orthopaedics provider of choice for our patients; partner of choice for payors and health systems; and employer of choice by attracting and retaining a talented workforce.

The Scheduler and Authorization Specialist is responsible for performing a variety of patient registration, scheduling, and insurance verification duties. Answers phone calls from patients with professionalism and efficiency to get them registered and scheduled. Responds to routine inquiries regarding online and in office scheduling. Drives requests, tracking, and obtaining of pre-authorization from insurers within time allotted for medical and therapy services being performed. Significant understanding of benefits and prior authorization as well as excellent multi-taking skills and attention to detail are paramount to complete the many aspects of this role.

Duties include, but are not limited to:

Contribute to the achievement of excellence in health care to fulfill the mission of the unit.

Exhibit strong and care-focused customer service skills in daily interaction with the public, patients, staff, and physicians in the performance of job duties.

Scheduling, changing, and updating patient appointments.

Interview patients for demographic information, evaluate eligibility, collect co-pays, deductibles, including but not limited to insurance verification.

Contact insurance carriers to verify patient’s insurance eligibility, benefits, and requirements.

Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and Therapy services.

Process insurance authorizations and update patient records.

Research referrals to deny or approve based on information obtained and appropriately identify diagnosis (CPT and ICD-10 coding).

Operate online insurance verification websites.

Communicate any insurance changes or trends among team.

Respond to patient inquiries, questions, and scheduling requests.

Participate in department's Performance Improvement activities.

Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.

Educate patients and coworkers on preauthorization process and assist with understanding coverage information.

Utilize computer software programs, as needed, to communicate and understand patient needs (i.e. scheduling, EMR, etc.)

Report all necessary information and/or unusual occurrences in accordance with established policies and procedures.

Participate in orientation programs.

Ensures consistent compliance with all regulatory and CAO guidelines, policies, and procedures.

Performs other duties as assigned.

Required Education & Experience

High School Diploma or equivalent.
1 – 2 years of medical office experience is preferred.
Proficient knowledge in medical terminology.
Above average spelling and typing skills needed.
Proficient computer software (Online insurance websites and DASH) and database skills.
Proficiency with Microsoft Office suite of products.
Experience collaborating across multiple functions.
Experience innovating in a fast-growing work environment and dealing with ambiguity.

Competencies/Required Skills & Abilities

Strong Interpersonal Skills - Ability to develop relationships and collaborate and influence in a decentralized organization.
Demonstrated ability to organize, prioritize, and manage multiple tasks in a dynamic environment with a proven track record of results.
Strong oral and written communication skills with excellent self-discipline and patience.
Able to work independently.
Excellent time management, organization, and administrative support skills.
Must be able to read, write, speak, understand, and communicate in the English language.

Physical Demands

Must be able to sit for long periods of time and lift up to 25 pounds.
Must be able to use appropriate body mechanics techniques when performing desk duties.
Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting.
Adequate hearing to perform duties in person and over telephone.
Must be able to communicate clearly to patients in person and over the telephone.
Visual acuity adequate to perform job duties, including reading materials from printed sources and computer screens.

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 chevy chase, md

Scheduler & Authorization Specialist

Pre-Registration Specialist, Per Diem

Payor Clearance Specialist

Revenue Cycle Denial Specialist

Billing Support Specialist I

Staff Assistant

Coordination Specialist

Office Management Specialist

PDN Home Health Authorization Specialist

Insurance Authorization Specialist

Authorization & Verification Specialist - Acute Team

Deployment Strategist - Palantir Foundry

Cardiovascular Scheduler, Day Shift, Cardiology

Intake/Staffing Coordinator

Surgical Coordinator - Hybrid

Registration Coordinator

Front Office Coordinator - Silver Spring (Aspen Hill), MD

Benefits & Auth for Physical Therapy

scheduling specialist

Front Office Coordinator - Washington (U St), DC

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