Top 23 Prior authorization specialist Jobs in Danbury, Ct

Medical Coder
OrthoConnecticut —Danbury, CT
- $30 - $32 an hour
- Full-time
- Hybrid work
- Anatomy knowledge
- Microsoft Excel
- Surgery
- Profit sharing
- Wellness program
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8d
Preservice Specialist I - Per Diem
Northwell Health —Danbury, CT
- $19 - $26 an hour
- Monday to Friday
- Hybrid work
- Microsoft Word
- Microsoft Excel
- High school diploma or GED
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Preservice Specialist I - Full Time
Northwell Health —Danbury, CT
- $19 - $26 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- High school diploma or GED
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Prior Authorizations Specialist - Cardiology
Hartford HealthCare Medical Group —Trumbull, CT
- Full-time
- Children
- Radiology
- Cardiology
Quick Apply
20h
Insurance Verification Specialist
Griffin Hospital —Derby, CT
- Hospital
- Customer service
- High school diploma or GED
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Authorization & Account Verification Specialist
Advanced Radiology Consultants —Shelton, CT
- $19 - $24 an hour
- Full-time
- Computer literacy
- HIPAA
- Mid-level
- Profit sharing
- Health savings account
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Front Desk Receptionist/Prior Authorization Specialist
Stride Pedorthic Center —Middlebury, CT
- $17 - $19 an hour
- Part-time
- Customer service
- Medical office experience
- Mid-level
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12d
Surgical Scheduler - Cardiology, EP
Stamford Health —Norwalk, CT
- Full-time
- Surgery
- Computer literacy
- English
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4d
Referral Specialist
Optimus Health Care, Inc. —Stratford, CT
- Full-time
- Microsoft Word
- Spanish
- Clinic experience
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Surgical Scheduler
Trinity Health Of New England —Waterbury, CT
- Full-time
- Surgery
- Medical office experience
- Mid-level
- Benefits from day one
Medical Billing & Accounts Receivable Administrator
Vein Institute —Newtown, CT
- $42,000 - $50,000 a year
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Medical Certified Coder
Excel Partners —Fairfield, CT
- $23 - $27 an hour
- Full-time
- Mid-level
- Office
- Organizational skills
- Health insurance
- Paid time off
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Revenue Cycle Specialist
Advanced Radiology Consultants —Shelton, CT
- Full-time
- Bilingual
- Mid-level
- High school diploma or GED
- Profit sharing
- Health savings account
Quick Apply
Case Management & Data Entry Specialist
WPTT —Jefferson Valley, NY
- $60,000 a year
- Full-time
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
5d
Referral & Care Coordination Specialist - Fulltime Stamford
Stamford Health —Stamford, CT
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Free parking
- Health insurance
Quick Apply
4d
Surgical Scheduler - Bariatric Surgery - Waterbury
Trinity Health Of New England —Waterbury, CT
- $18.70 - $28.05 an hour
- Full-time
- Microsoft Outlook
- Surgery
- Medical office experience
- Benefits from day one
Medical Scribe
Oak Street Health —Waterbury, CT
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Medical Receptionist
Trinity Health Of New England —Watertown, CT
- Full-time
- Windows
- High school diploma or GED
- Typing
- Benefits from day one
11d
Revenue Cycle Interventional Radiology Specialist
Advanced Radiology Consultants —Shelton, CT
- Full-time
- Bilingual
- Anatomy knowledge
- Hospital
- Profit sharing
- Health savings account
Quick Apply
Medical Receptionist - Neurology - Middlebury
Trinity Health Of New England —Waterbury, CT
- Full-time
- Windows
- High school diploma or GED
- Neurology
- Benefits from day one

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Medical Coder

OrthoConnecticut -
Danbury, CT

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Job Details

Full-time
$30 - $32 an hour
8 days ago

Benefits

Profit sharing
Wellness program
Health savings account
AD&D insurance
Disability insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Employee discount
Life insurance

Qualifications

Private practice experience
Phone communication
Copy machines
Medical office experience
Medical coding experience in physician offices
Task prioritization
Fax machines
Faxing

Full Job Description

This is a hybrid to remote role. Extensive coding experience needed.

GENERAL STATEMENT OF DUTIES:

Position is primarily responsible for reviewing operative reports and documentation for surgery and all other facility-based charges; assigning appropriate CPT and ICD-10 codes and entering charges into the practice management system. Reviewing and auditing charge tickets for office services. Checks for correctness and completeness prior to tickets being processed for billing and claim submission. Work as a resource for the charge posters with coding questions as well as the A/R team regarding correct processing of claims and assisting with appeals.

Schedule: Monday-Friday 8am-5pm (no weekends)

Benefits:

401(k) matching + profit sharing
Health/Dental/Vision Insurance
FSA/HSA options
Life insurance/AD&D/STD/LTD
Paid time off
Employee Discount Program
Wellness Program

Department Duties/Responsibilities:

Read and interpret medical record documentation to identify all diagnoses and significant procedures that are to be coded, for all facility-based charges and enter them into the practice management system.
Reviews, audits and corrects charge tickets with respect to appropriate CPT and ICD-10 codes including modifiers to accurately represent the services provided, maximize reimbursement and facilitate the audit/review process.
Contact physicians for clarification when needed, to ensure accurate charge entry.
Review and code surgical pre-certs sent thru Athena for upcoming surgeries.
Ensure all codes coded have been correctly pre-certified, if not send back to the secretary in Athena for updated retro authorization.
Apply federal guidelines in the coding of patient diagnoses and procedures according to CPT/HCPCS and ICD-10 coding conventions.
Assist Billing Department with claims resolution, i.e., verifying and correcting all coding issues. Review denials and coverage policies
Provide coding support to all departments within the practice.
Review op reports and audit all Surgeries over $10,000.
Work in the coding review Q- to assist AR Staff with Surgical coding questions and appeals, as assigned.
Be open to any research projects that may involve coding/ Reimbursement issues.
Audit E & M chart notes as assigned.
Perform other related duties that may be inclusive, but not listed in the job description

Physical Requirements:

The physical demands described here are representative of those an individual must meet to successfully perform the essential functions of this job.
Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
Ability to work in a fast-paced office environment
Strong sensory skills, such as visual acuity, good hearing, and dexterity
Ability to stand and sit for periods of time and to move constantly throughout the workday
Good speaking and listening skills
Ability to perform focused work with close attention to detail
Ability to operate office equipment, including computers, copiers, fax machines, and phones
Ability to interact with others, both in person and through phone, e-mail, and written correspondence
Ability to push, pull, lift, move, and/or carry up to 15 lbs

Education and Experience:

Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)
Must maintain active certification, remaining in good standing with all certification requirements
Minimum of 2 years’ experience in private practice required (3+ years highly desirable)
High school graduate or equivalent
Devoted to teamwork and portraying the company in a very positive manner
Organized, accountable, self-motivated, and attentive to detail
Excellent written, verbal, interpersonal and communication skills
Ability to work under pressure and accurately prioritize problems & initiatives
Basic working knowledge of Microsoft Office Suite (Word, Excel, PowerPoint)
Minimum of 2 years coding experience in a medical office
Knowledge of anatomy and medical terminology
Experience and familiarity with medical office billing policies and procedures
Knowledge of the following billing software Athena preferred

OrthoConnecticut, delivering exceptional care and real results has always been our mission, though we did things a little differently when we opened our doors in 1954. Today, we provide orthopedic care in a new state-of-the-art Musculoskeletal Center of Excellence, in which we provide the full spectrum of high-quality services under one roof. Now we can diagnose and treat the complete range of musculoskeletal issues for all ages in one easily accessible location with minimal wait time and a more efficient patient experience. One thing that hasn't changed since in 1954: our commitment to you

OrthoConnecticut is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the job.

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Refine Your Search

prior authorization specialist jobs in danbury, ct

Medical Coder

Preservice Specialist I - Per Diem

Preservice Specialist I - Full Time

Prior Authorizations Specialist - Cardiology

Insurance Verification Specialist

Authorization & Account Verification Specialist

Front Desk Receptionist/Prior Authorization Specialist

Surgical Scheduler - Cardiology, EP

Referral Specialist

Surgical Scheduler

Medical Billing & Accounts Receivable Administrator

Medical Certified Coder

Revenue Cycle Specialist

Case Management & Data Entry Specialist

Referral & Care Coordination Specialist - Fulltime Stamford

Surgical Scheduler - Bariatric Surgery - Waterbury

Medical Scribe

Medical Receptionist

Revenue Cycle Interventional Radiology Specialist

Medical Receptionist - Neurology - Middlebury

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