Top 26 Prior authorization specialist Jobs in Manassas, Va

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
Medical Front Desk Specialist
Northern Virginia Eye —Fairfax, VA
- Part-time
- High school diploma or GED
- Organizational skills
- In-person
Quick Apply
Registration Coordinator
OrthoVirginia Inc —Aldie, VA
- $19.46 - $29.19 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
Quick Apply
11d
Front Desk Receptionist
US Foot & Ankle Specialists —Manassas, VA
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
1d
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
5d
Front Desk Associate - Ophthalmology
NOVA Eye Experts PLLC —Warrenton, VA
- $18 - $23 an hour
- Full-time
- Ability to walk for extended periods
- HIPAA
- Administrative experience
- AD&D insurance
- Disability insurance
Quick Apply
8d
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
6d
Surgical Coordinator - Hybrid
Pelvic Rehabilitation Medicine —Falls Church, VA
- $24 - $28 an hour
- Full-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
Quick Apply
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
3h
Front Office Coordinator - Chantilly (South Riding), VA
Pivot Physical Therapy —Chantilly, VA
- $15.00 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
Pharmacy Technician - Billing Specialist
Southern Pharmacy Services - Northern Virginia —Gainesville, VA
- Full-time
- HIPAA
- Research
- Office
- Health savings account
- AD&D insurance
Quick Apply
Travel Patient Representative
Advanced Medical Management LLC —Woodbridge, VA
- $19 an hour
- Microsoft Outlook
- Computer literacy
- Pass drug screening
- Paid training
- Health savings account
Quick Apply
Front Office Coordinator - Stafford, VA
Pivot Physical Therapy —Stafford, VA
- $15.00 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
Front Office Coordinator - Springfield, VA
Pivot Physical Therapy —Springfield, VA
- $15.00 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
Front Office II
McLean Oral & Facial Surgery —McLean, VA
- $22 - $27 an hour
- 8 hour shift
- Background check
- Dental office
- Surgery
- Health savings account
- Health insurance
Quick Apply
Front Office II
McLean Oral & Facial Surgery, McLean, VA —McLean, VA
- Full-time
- Background check
- Dental office
- Surgery
- Health savings account
- Health insurance
Quick Apply
Security Assistant (5599)
Three Saints Bay, LLC —Arlington, VA
- Background check
- Office
- High school diploma or GED
Quick Apply
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
4d

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prior authorization specialist jobs near manassas, va

Authorization & Verification Specialist - Acute Team

ContinuumRx -
Chantilly, VA

Quick Apply

Job Details

Full-time

Qualifications

Microsoft Word
Microsoft Excel
Overseeing health insurance pre-certification
Serving clients
Presentation software

Full Job Description

Continuumrx is currently recruiting employees in Virginia to support our Acute Authorization and Verification Team!

Job Summary:

The Verification Specialist - Specialty role is responsible for processing benefit verification of benefits for acute patients.
The primary role of the Authorization Specialist is to review, process, and follow to completion the requirement of obtaining prior authorizations for services. This includes PBM authorizations.

Verification Specialist Roles and Responsibilities:

Verifies benefit coverage and as appropriate, financial responsibility.
Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in accordance with the insurance eligibility/coverage information provided by payor at time of insurance verification.
Documents all patient interaction in EMR as a billing note.
Serves as a resource and problem resolution expert for patients, Intake and Sales.
As needed, verifies insurance coverage and eligibility through payor websites, E1 check, or by calling the payor directly. Document information in EMR and communicates as appropriate to team members.
Assists with Ready To Bill (RTB) as appropriate.
Performs other duties and special projects, as assigned.
Complete understanding of confidentiality with respect to Company proprietary information as well as information concerning patient/client care; complying with all federal and state laws as apply to confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and following HIPAA guidelines regarding readily identifiable protected health information.

AuthorizationSpecialist Roles and Responsibilities:

Coordinates with the Intake Specialists and the Pharmacy Team to identify and process requests for services requiring Prior Authorization and/or Pre-Determination for services rendered.
Reviews each request for Prior Authorization and insures that the proper supporting documentation and forms/documents are completed.
Processes Prior Authorizations via Fax, computer or phone call as required by the specific payers.
Maintains an organized process for documenting and tracking all requested prior authorizations.
Maintains an organized process for timely follow-up and troubleshooting of all pending Prior Authorizations.
Documents in the patient record all prior authorizations, expiration dates and other information as required.
Communicates with the Revenue Cycle Team and Admission Specialists any prior authorization denials and insures prompt follow-up.
Maintains a process to review newly accepted patients for a “second check” to prevent missing prior authorization requests.
Effectively identify and communicate to supervisor when assistance is needed (including, but not limited to system function, training, etc.).
Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA).
Understands and provides exceptional customer service to clients, patients, and payers.
Exhibits a positive, courteous, respectful and helpful attitude to clients, co-workers, and management team.
Promotes company culture by adhering to all policies and procedures.
Adapts to and demonstrates the ability to deal with frequent changes in the work environment.
Other tasks/duties as assigned.
Complete understanding of confidentiality with respect to Company proprietary information as well as information concerning patient/client care; complying with all federal and state laws as apply to confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and following HIPAA guidelines regarding readily identifiable protected health information.

Qualifications and Experience:

Required:

2 or more years of experience in healthcare reimbursement with focus on insurance verification and authorizations.
Experience with coordination of benefits, including but not limited to HMO, PPO, TPA, state and federal payors; preferred but not required.
Prior work in specialty or home infusion, homecare or related field; preferred but not required.
Strong computer skills (Microsoft Word, Excel, PowerPoint)
Exceptional communication - verbal and written
Exceptional interpersonal skills
Exceptional organizational and process skills
Ability to work well under pressure, meet timelines, and completes assigned projects
Exceptional critical thinking and problem solving skills
Proven performance, history in related field Exceptional attention to detail and demonstrated results
Exceptional track record of customer satisfaction

Quick Apply

Refine Your Search

prior authorization specialist jobs in manassas, va

Authorization & Verification Specialist - Acute Team

scheduling specialist

Insurance Authorization Specialist

Medical Front Desk Specialist

Registration Coordinator

Front Desk Receptionist

Intake/Staffing Coordinator

Front Desk Associate - Ophthalmology

PDN Home Health Authorization Specialist

Surgical Coordinator - Hybrid

DTS Specialist

Front Office Coordinator - Chantilly (South Riding), VA

Pharmacy Technician - Billing Specialist

Travel Patient Representative

Front Office Coordinator - Stafford, VA

Front Office Coordinator - Springfield, VA

Front Office II

Front Office II

Security Assistant (5599)

Therapy Care Specialist - Specialty Infusion Pharmacy Technician

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