Top 23 Prior authorization specialist Jobs in Hillsboro, Or

Insurance Verification Specialist - Per Diem
Hillsboro Medical Center —Hillsboro, OR
- $24.80 - $34.45 an hour
- Per diem
- Bilingual
- Hospital
- Computer literacy
Referral/Pre-Auth Specialist
PeaceHealth —Vancouver, WA
- $24.32 - $32.84 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Residential
- 403(b) matching
- Disability insurance
2d
Medical Receptionist (Clinics)
Hillsboro Medical Center —Hillsboro, OR
- $19.67 - $26.96 an hour
- 8 hour shift
- Spanish
- Word processing
- Computer literacy
6d
PAS (PAS Specialist)
Oregon Health & Science University —Portland, OR
- $25.38 - $34.35 an hour
- Full-time
- Microsoft Outlook
- Word processing
- Medical office experience
6d
Record Management Coordinator (Office Specialist 2)
Oregon Health Authority —Hillsboro, OR
- $3,515 - $4,738 a month
- 8 hour shift
- Customer service
- Word processing
- Mid-level
- Paid holidays
- Disability insurance
6d
PAS Specialist
Oregon Health & Science University —Portland, OR
- $25.38 - $34.35 an hour
- Full-time
- Laboratory experience
- Administrative experience
- High school diploma or GED
Referral Coordinator - Quality & Coordination
PeaceHealth —Vancouver, WA
- $25.62 - $34.58 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Continuing education credits
- 403(b) matching
Referral Coordinator
Central City Concern —Portland, OR
- $25.05 - $33.24 an hour
- Monday to Friday
- Background check
- Spanish
- CPR Certification
- 403(b) matching
- Disability insurance
Quick Apply
7d
Materials Management Office Support Specialist (Office Specialist 2)
Department of Environmental Quality —Portland, OR
- $3,579 - $4,852 a month
- Extended hours
- Hybrid work
- Microsoft Outlook
- Mid-level
- Office
- Paid holidays
- Health insurance
8h
Patient Services Specialist for Pulmonary in SW Beaverton (Registration)
The Oregon Clinic PC —Beaverton, OR
- $19.59 - $32.07 an hour
- Full-time
- Hybrid work
- Mid-level
- Clinic
- Critical & Intensive Care
- Wellness program
- Commuter assistance
Quick Apply
12d
Patient Services Specialist for Pulmonary in SW Beaverton and NE Portland
The Oregon Clinic PC —Beaverton, OR
- $19.59 - $32.07 an hour
- Full-time
- Mid-level
- Clinic
- Critical & Intensive Care
- Wellness program
- Commuter assistance
Quick Apply
Client Financial Coordinator
VCA Animal Hospitals —Clackamas, OR
- Weekends as needed
- Mid-level
- High school diploma or GED
- Medical terminology
- Health insurance
- Dental insurance
Dental Front Office
Powell Dental —Portland, OR
- $25 - $32 an hour
- Full-time
- Dental office
- HIPAA
- High school diploma or GED
- Health insurance
- Paid time off
Quick Apply
On-Call Client Access Specialist II
Central City Concern —Portland, OR
- $22.24 - $28.91 an hour
- Part-time
- Background check
- Spanish
- CPR Certification
Quick Apply
Experienced Mental Health Billing Specialist
Second Growth Counseling —Portland, OR
- $30 - $34 an hour
- Part-time
- Hybrid work
- Background check
- Spanish
- Google Workspace
- Health insurance
- Dental insurance
Quick Apply
15h
Revenue Optimization Manager
Oregon Vascular Specialists - Portland —Wilsonville, OR
- Full-time
- 7 years
- Surgery
- Finance
- Health savings account
- Disability insurance
5d
Patient Access Specialist
Healogics —Portland, OR
- $20.63 - $25.36 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Surgery
Quick Apply
1d

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Referral/Pre-Auth Specialist
PeaceHealth —Vancouver, WA
At least two years of experience working with insurance in a healthcare setting or related field. Coursework in business, healthcare administration, or a…
$24.32 - $32.84 an hour
2d

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Revenue Authorization Specialist
Mount Carmel —Columbus, OH
Verifies insurance eligibility and contacts the payer to initiate pre-certification by providing supporting medical documentation, follows up with insurance on…
23h
Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
7d

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Insurance Verification Specialist - Per Diem

Hillsboro Medical Center -
Hillsboro, OR

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Job Details

Per diem
$24.80 - $34.45 an hour

Qualifications

Computer operation
Customer communication
Medical insurance coverage verification
Computer literacy
Medical billing
Handling customer service requests
Computer skills
Clinical confidentiality policies
Medical terminology
Hospital experience

Full Job Description

POSITION SUMMARY:

Pay range: $24.80/hr - $34.45hr

The Insurance Verification Specialist is responsible for (but not limited to) verification of all insurance to determine actual benefits of in-patient and outpatient procedural and admitted accounts requiring an extensive knowledge on medical insurance. Notifies all insurance companies of outpatient and inpatient admissions for authorization, audits IP/OP procedural accounts, obtains prior authorizations for facility services that require such. Provides excellent customer service to patient and staff alike.

KEY RESPONSIBILITIES

Performed majority of the time:

Obtains needed insurance, health and financial information on patients coming into the hospital.

Updates patient accounts as needed.

Communicates to patient the patient’s financial responsibility as needed.

Obtains and verifies insurance within department standard and ensures proper insurance authorization is obtained.

Responds to voicemail within 24 hrs.

Maintains equipment and reports equipment failures promptly to facilitate repairs.

Refers accounts that do not have insurance to the Financial Counselor.

Addresses Case Management concerns and complaints.

Attends department meetings and provides insurance updates to the team.

Reviews active medical records for presence of diagnosis and orders.

Performed occasionally but critical to successful performance of the job:

Formulates and updates policies and procedures for insurance verification.

JOB SPECIFICATIONS:

Education:

Required

Preferred

Associate degree with college accounting courses or equivalent accounting experience.

Experience:

Required

Minimum one (1) year of hospital and insurance verification experience.

Preferred

Licenses, Certifications and/or Registrations:

Required

Preferred

Job Related Skills, Abilities and Behaviors:

Required

Computer experience.

Demonstrates proper, professional appearance and personal conduct for the employee’s particular job.

Insurance contracting knowledge preferred.

Must have the ability to organize and prioritize large volumes of work, while supporting the needs and work load of your immediate team members and management.

Experience working with highly confidential material/information.

Medical billing and insurance terminology required.

Medical terminology required.

Requires self-discipline and sense of responsibility, as job requires strict attention to detail.

Excellent customer service skills.

Must be effective in verbal and written communication.

Uses effective communication skills.

Ability to read and understand physician’s orders.

Utilizes electronic equipment and communication devices.

Effectively uses online data bases throughout the insurance verification process.

Assumes responsibility for maintaining competency in all areas where training was completed.

Demonstrates confidentiality regarding patient and co-worker information according to PHI level of access.

Prioritizes workload.

Looks for ways to improve customer service.

Formulates and uses effective working relationships with all healthcare team members, patients and significant others.

Fosters positive work environment through teamwork and assistance.

Demonstrates the ability to be self-disciplined, motivated and a self-starter.

Preferred

Bilingual skills a plus.

Additional Posting Information: Hillsboro Medical Center believes in providing equal employment opportunities for all qualified individuals. Recruitment, hiring, promotions, transfers, working conditions, training, and compensation will be based on qualifications without regard to race, color, sex, sexual orientation, gender identity, religion, age, creed, national origin, marital status, family relationship, veteran status, genetic information, physical or mental disability, or any other status or characteristic protected by applicable law. We further commit ourselves to continuing the practical application of this policy in our daily business conduct.

Apply Now

Refine Your Search

prior authorization specialist jobs in hillsboro, or

Insurance Verification Specialist - Per Diem

Referral/Pre-Auth Specialist

Medical Receptionist (Clinics)

PAS (PAS Specialist)

Record Management Coordinator (Office Specialist 2)

PAS Specialist

Referral Coordinator - Quality & Coordination

Referral Coordinator

Materials Management Office Support Specialist (Office Specialist 2)

Patient Services Specialist for Pulmonary in SW Beaverton (Registration)

Patient Services Specialist for Pulmonary in SW Beaverton and NE Portland

Client Financial Coordinator

Dental Front Office

On-Call Client Access Specialist II

Experienced Mental Health Billing Specialist

Revenue Optimization Manager

Patient Access Specialist

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