Top 27 Prior authorization specialist Jobs in Glen Burnie, 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
5d
Lead Benefits and Authorization Specialist (Chesapeake Specialty Care)
Univ. of MD Specialty Care Network LLC —Annapolis, MD
- $21.25 - $31.92 an hour
- Remote
- Mid-level
- High school diploma or GED
- Supervising experience
4d
Payor Clearance Specialist
Children's National Hospital —Silver Spring, MD
- $48,672 - $81,120 a year
- Full-time
- Bilingual
- Mid-level
- 3 years
Prior Authorization Certified Pharmacy Technician
Shields Health Solutions —Baltimore, MD
- $19.45 - $22.21 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
Senior Financial Clearance Specialist, Day
University of Maryland Medical System —Linthicum Heights, MD
- Full-time
- Medical office experience
- Mid-level
- Epic
Call Center Service Representative 3 (SCA)
Peraton —Linthicum, MD
- $39,000 - $62,000 a year
- Remote
- High school
- Writing skills
- Mid-level
- Travel reimbursement
- Health savings account
Medical Billing and AR Specialist
Greater Maryland Pain Management —Odenton, MD
- Full-time
- Customer service
- Mid-level
- Medical terminology
Quick Apply
Appointment Scheduler
The Centers for Advanced Orthopaedics LL —Baltimore, MD
- English
- Mid-level
- High school diploma or GED
Quick Apply
13d
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
Surgical Operations Specialist - Neurosurgery
Faculty Physicians Inc. —Glen Burnie, MD
- $23.80 - $35.72 an hour
- Surgery
- Computer literacy
- Medical office experience
Quick Apply
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
13d
Remote System and Data Integration Specialist
Peraton —Laurel, MD
- $135,000 - $216,000 a year
- Remote
- Master's degree
- High school diploma or GED
- Travel
- Health savings account
- Paid holidays
5h
Medical Office Coordinator (Neurology)
Johns Hopkins University —Baltimore, MD
- $16.20 - $28.80 an hour
- Full-time
- Background check
- Surgery
- Mid-level
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
10d
Manager, Technical Project Management
Peraton —Windsor Mill, MD
- $135,000 - $216,000 a year
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Health savings account
- Paid holidays
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
Front Office Coordinator - Catonsville, MD
Pivot Physical Therapy —Catonsville, MD
- $15.00 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
12d
Front Office Coordinator - Arnold, MD
Pivot Physical Therapy —Arnold, MD
- $15.00 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
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
11d
Front Desk Receptionist
US Foot & Ankle Specialists —Baltimore, MD
- $18 - $20 an hour
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
13d

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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
5 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 glen burnie, md

Benefits and Authorization Specialist (Chesapeake (Specialty Care)

Lead Benefits and Authorization Specialist (Chesapeake Specialty Care)

Payor Clearance Specialist

Prior Authorization Certified Pharmacy Technician

Senior Financial Clearance Specialist, Day

Call Center Service Representative 3 (SCA)

Medical Billing and AR Specialist

Appointment Scheduler

Coordination Specialist

Surgical Operations Specialist - Neurosurgery

Sr. Medical Office Coordinator (Orthopaedic Surgery)

Remote System and Data Integration Specialist

Medical Office Coordinator (Neurology)

Cardiovascular Scheduler, Day Shift, Cardiology

Manager, Technical Project Management

Customer Service Representative

Front Office Coordinator - Catonsville, MD

Front Office Coordinator - Arnold, MD

Medical Receptionist - Float

Front Desk Receptionist

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