Top 39 Prior authorization specialist Jobs in Fairfax, Va

Surgical Coordinator - Hybrid
Pelvic Rehabilitation Medicine —Falls Church, VA
- $24 - $28 an hour
- Full-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
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
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
10d
Authorization & Verification Specialist - Acute Team
ContinuumRx —Chantilly, VA
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
Quick Apply
scheduling specialist
RAYUS Radiology —Woodbridge, VA
- Full-time
- Bilingual
- Computer literacy
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
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
Payor Clearance Specialist
Children's National Hospital —Silver Spring, MD
- $48,672 - $81,120 a year
- Full-time
- Bilingual
- Mid-level
- 3 years
11d
DTS Specialist
Solutions Through Innovative Technologies, Inc —Reston, VA
- $55,000 - $70,000 a year
- Full-time
- Mid-level
- Office
- 3 years
- Paid holidays
- Disability insurance
4d
Deployment Strategist - Palantir Foundry
Accenture Federal Services —Washington, DC
- $126,300 - $243,100 a year
- Mid-level
- Analysis skills
- Travel
Office Management Specialist
Social Impact —Washington, DC
- Full-time
- Microsoft Excel
- Microsoft Outlook
- English
- Travel reimbursement
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
9d
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
1d
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
Patient Access Specialist (FT, Days)
Connections Health Solutions —Leesburg, VA
- $25 - $27 an hour
- Full-time
- Background check
- Spanish
- 11+ years
- Paid parental leave
- Health savings account
Quick Apply
8d
Registration Coordinator
OrthoVirginia Inc —Reston, VA
- $19.46 - $29.19 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
Quick Apply
Pharmacy Technician - Billing Specialist
Southern Pharmacy Services - Northern Virginia —Gainesville, VA
- Full-time
- HIPAA
- Research
- Office
- Health savings account
- AD&D insurance
Quick Apply
Billing Support Specialist I
GeneDx —Gaithersburg, MD
- $23.50 - $25.50 an hour
- Bilingual
- Writing skills
- Office
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
1d
Therapy Care Specialist - Specialty Infusion Pharmacy Technician
Soleo Health Inc —Herndon, VA
- Urgently hiring
- Microsoft Word
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
8d
Security Assistant (5599)
Three Saints Bay, LLC —Arlington, VA
- Background check
- Office
- High school diploma or GED
Quick Apply

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prior authorization specialist jobs near fairfax, va

Surgical Coordinator - Hybrid

Pelvic Rehabilitation Medicine -
Falls Church, VA

Quick Apply

Job Details

Full-time
$24 - $28 an hour

Qualifications

Medical coding guidelines
High school diploma or GED
Data interpretation
Hospital scheduling management
Computer skills
Medical terminology

Full Job Description

Description:

Pelvic Rehabilitation Medicine is a physician-led specialty health care organization whose core business is to provide evidence-based, individualized treatment services for those suffering with chronic pelvic pain. Approximately 15-25% of men and women suffer from pelvic discomfort. In the US chronic pelvic pain effects 28 million women and is projected to grow to 43.6 million by 2050 according to the NICHD. Currently, chronic pelvic pain accounts for 20% of gynecology visits. Pelvic Rehabilitation Medicine has positioned itself at the center of the pelvic pain ecosystem. We are nationally recognized experts dedicated to reducing the number of people suffering from this affliction.

Pelvic Rehabilitation Medicine was formed in 2017 and is headquartered in West Palm Beach, FL. Since its inception PRM has experienced rapid growth and routinely attracts patients from across the US and internationally. Pelvic Rehabilitation Medicine's fast-paced success has garnered the attention of the investment community positioning it to expand into new markets.

JOB TITLE: Surgical Coordinator

Job Responsibilities:

Schedule’s outpatient medical procedures, for patients with appropriate provider and time/location slot
Request pre-operative clearances from PCPs office
Submit booking/orders to outpatient Surgical Center
Provides patients with Surgical paperwork such as consents, drop instructions, pre/post-operative instructions, and financial responsibility
Provides accurate, detailed information to patients regarding test preparations, time of patients scheduled arrival, and any other directional information needed: takes appropriate action in responding to questions from patients
Provides patient education by reviewing patient pre-operative instructions and medications with the patient while maintaining patient confidentiality
Provides great patient experience and delivers high level of service
Develops a bond with patients ensuring they feel welcomed, understood, and appreciated not only during consultation but day of surgery as well
Achieves company set key performance indicators and maintains surgical schedules for surgeons
Notifies patients of all scheduled appointments
Verify all insurance and obtain any authorizations needed
Prepares all paperwork for physician for surgery
Ensure that all pertinent information for upcoming surgery, such as booking sheets, insurance information, prior authorizations, pre-op/medical clearance, is sent to the appropriate surgical facility
Answers all telephone inquiries from patients and primary care physicians concerning surgery and/or related concerns.

Business Development & Practice Growth:

Support the surgeon in building and maintaining referral relationships with OB/GYNs, PCPs, pain management specialists, physical therapists, and fertility clinics
Coordinate office visits and lunches for local offices
Track referral patterns and generate reports to help inform strategic outreach
Follow up with prospective patients and referring providers to encourage continuity of care and promote surgical treatment options
Collaborate with growth team and operations team to help implement local campaigns to increase surgical volume
Act as a liaison between the practice and local healthcare networks, building strong relationships to strengthen PRM’s reputation and reach in the community
Monitor trends in patient inquiries, cancellations, and referral conversions to provide actionable insights

Requirements:

REQUIRED QUALIFICATIONS:

High School Diploma or Equivalent
2-4 Years full-time surgery scheduling experience
Willing and able to follow directions and adhere to priorities
Must have a can-do, will-do attitude.
Superior knowledge of coding guidelines and reimbursement schemes
Must have exceptional organizational and computer skills
Conversational knowledge of medical terminology, acronyms, techniques.
Excellent written and oral communication
Solid analytical skills
Ability to work independently and with a team.

PREFERRED QUALIFICATIONS:

3 years eClinical Works RCM experience in patient account and denial management

Quick Apply

Refine Your Search

prior authorization specialist jobs in fairfax, va

Surgical Coordinator - Hybrid

Pre-Registration Specialist, Per Diem

PDN Home Health Authorization Specialist

Authorization & Verification Specialist - Acute Team

scheduling specialist

Insurance Authorization Specialist

Payor Clearance Specialist

DTS Specialist

Deployment Strategist - Palantir Foundry

Office Management Specialist

Intake/Staffing Coordinator

Staff Assistant

Scheduler & Authorization Specialist

Patient Access Specialist (FT, Days)

Registration Coordinator

Pharmacy Technician - Billing Specialist

Billing Support Specialist I

Cardiovascular Scheduler, Day Shift, Cardiology

Therapy Care Specialist - Specialty Infusion Pharmacy Technician

Security Assistant (5599)

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