Top 6 Prior authorization specialist Jobs in Egg Harbor Township, Nj

Authorization/Referral Coordinator
Shore Physicians Group —Somers Point, NJ
- $18.04 - $25.53 an hour
- Full-time
- Hospital
- Customer service
- Computer literacy
- Free parking
- Health insurance
Registration Specialist- Jersey Shore
Compass Surgical Partners —Somers Point, NJ
- $18 - $22 an hour
- Full-time
- Surgery
- Mid-level
- Windows
Medical Receptionist-Full Time Temporary
Consensus Health LLC —Winslow, NJ
- $16 - $23 an hour
- Temporary
- Computer literacy
- Basic math
- Administrative experience
- Paid holidays
- Disability insurance
Quick Apply
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Medical Receptionist- Southern NJ
Consensus Health LLC —Winslow, NJ
- $15.49 - $23.00 an hour
- Full-time
- Computer literacy
- Basic math
- Administrative experience
- Paid holidays
- Disability insurance
Quick Apply

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prior authorization specialist jobs near egg harbor township, nj

Authorization/Referral Coordinator

Shore Physicians Group -
Somers Point, NJ

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Job Details

Full-time
$18.04 - $25.53 an hour

Benefits

Free parking
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Employee discount
Life insurance
Referral program

Qualifications

Medical office experience
High school diploma or GED
Medical terminology
Team building

Full Job Description

General Summary

The Authorization/Referral Coordinator is responsible for processing referral requests, medication authorizations, and diagnostic imaging pre-certifications, as access to specialty and ancillary testing services is a key component for the treatment of our patients and the satisfaction of our referring providers. This position works with the Medical Office Manager and Medical Office Supervisor to ensure implementation and adherence to organizational processes and workflows that supports optimal patient care in a multidisciplinary setting.

Responsibilities:

Reviews, obtains & processes all diagnostic/specialty/miscellaneous referral and authorization requests for both the provider and facility
Search electronic medical records to obtain the required clinical information needed for medical authorization. Provides all necessary information (medical records, scripts, etc.) to payer
Complete all necessary documentation to meet the needs of providers, health plans, and patients
Track referrals to assure all required timelines are met or exceeded
Update the referral, pre-certification, or prior authorization in the electronic medical record and payer systems and in other systems as required as directed by provider, including appropriately annotating and updating orders and requests
Ensure that specialist reports are received by the primary care provider and are scanned into the electronic medical record
Reach out to health insurance plans as needed
Assures referrals are maintained within appropriate network or payer requirements
Process referrals and submit medical records to insurance carriers to expedite medication prior authorization and diagnostic imaging precertification processes
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
Follow medication prior authorization work flow, policies and procedures
Collaborate with other departments to assist in obtaining medication pre-authorizations in a cross functional manner
Communicates with all involved, payer, provider, and patient as appropriate and as per protocol. Provides a standard of excellence as it relates to customer service and satisfaction for all customers
Remains current on referral policies and procedures, and payor guideline requirements
Must be able to maintain confidentiality with all aspects of information in accordance with practice, State and Federal regulations
Other duties as assigned pertaining to prior authorization, referrals, diagnostic imaging precertifications, and benefit verification/eligibility

Minimum Requirements:

HS diploma or equivalent
2-4 years of medical office experience required
2-4 years of medication authorization experience is required
Knowledge of medical terminology, insurance guidelines, and medical practice services and routines
Ability to work under pressure, multi-task, make decisions, and work in fast-paced environment
Excellent organization skills
Promotes and fosters team work

Preferences:

Athena or EMR Experience
Microsoft Office experience
Computer Literacy – ability to learn and navigate new programs

Salary Range (Based on Experience):

$18.04 - $25.53

Why Join Us?

At Shore Physicians Group, we work hard and take pride in accomplishing our mission statement of “Treating People Well”. We are looking for employees who strive to be the best in their field and enjoy exchanging knowledge in an interactive environment.

Shore Physicians Group offers a professional, enjoyable work environment, and generous benefits including:

401(k)
401(k) matching
Medical/Dental/Vision insurance
Life insurance
Paid time off
Tuition reimbursement
Certification reimbursement
Referral incentive program
Local community employee discounts
Free Parking

Additional Information:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required.
This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company's rights to assign or reassign duties and responsibilities to this job at any time.
Shore Physicians Group is an Equal Opportunity Employer. All applicants will receive consideration for employment without regard to sex, affectional or sexual orientation, gender, gender identity, orientation or expression; marital status, domestic partnership status, civil union status, pregnancy, race, creed, ancestry, color, ethnicity, national origin, age, disability, religion, genetic information, or veteran status or any other basis prohibited by law.

Location: Shore Medical Center · Administration SPG
Schedule: Full Time, Days, 8-4:30

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prior authorization specialist jobs in egg harbor township, nj

Authorization/Referral Coordinator

Registration Specialist- Jersey Shore

Medical Receptionist-Full Time Temporary

Medical Receptionist- Southern NJ

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