Top 51 Prior authorization specialist Jobs in Maryland

Scheduler & Authorization Specialist
OrthoMaryland —Baltimore, MD
- Remote
- English
- Mid-level
- High school diploma or GED
Quick Apply
3d
Medication Access Coordinator II
Johns Hopkins Care at Home —Baltimore, MD
- $20.53 - $33.90 an hour
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- 2 years
- Health insurance
- Dental insurance
2d
Patient Accounts Coordinator - Auth and Elig Specialist
Gilchrist Hospice Care, Inc. —Hunt Valley, MD
- $19.92 - $29.87 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
Quick Apply
9d
Prior Authorization Certified Pharmacy Technician
Shields Health Solutions —Baltimore, MD
- $19.45 - $22.21 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
10d
Payor Clearance Specialist
Children's National Hospital —Silver Spring, MD
- $48,672 - $81,120 a year
- Full-time
- Bilingual
- Mid-level
- 3 years
- Commuter assistance
- AD&D insurance
ADMISSIONS AUTHORIZATION SPECIALIST
MT WASHINGTON PEDIATRIC HOSPITAL —Baltimore, MD
- $18.74 - $23.42 an hour
- Full-time
- Writing skills
- Data analysis skills
- High school diploma or GED
Quick Apply
2d
Financial Clearance Specialist
University of Maryland Medical System —Bel Air, MD
- Full-time
- Medical office experience
- Research
- Mid-level
Benefits & Auth for Physical Therapy
RSI-Rehabilitation Services, Inc. —Laurel, MD
- $23 - $29 an hour
- Full-time
- HIPAA
- Mid-level
- In-person
- Disability insurance
- Health insurance
Quick Apply
3d
Prior Authorization Representative
Clinical Associates, P.A. —Towson, MD
- Full-time
- Medical office experience
- English
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
13d
Coordinator - Prior Authorization Verification and Eligibility
Luminis Health —Annapolis, MD
- $17.50 - $26.00 an hour
- Full-time
- Microsoft Outlook
- Hospital
- Medical office experience
- AD&D insurance
- Paid holidays
Insurance Verification & Authorization Specialist
The Centers for Advanced Orthopaedics LL —Columbia, MD
- Medical office experience
- English
- Mid-level
Quick Apply
Patient Coverage Verification Specialist
Chase Brexton Health Care —Baltimore, MD
- $19.37 - $25.04 an hour
- Full-time
- Bilingual
- HIPAA
- Mid-level
Quick Apply
Senior Financial Clearance Specialist, Day
University of Maryland Medical System —Linthicum Heights, MD
- Full-time
- Medical office experience
- Mid-level
- Epic
2d
Federal Workforce Career Center Program Coordinator
WorkSource Montgomery Inc —Silver Spring, MD
- $31.25 - $36.04 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Office
- Administrative experience
- Paid holidays
- Disability insurance
Quick Apply
9d
Authorizations Specialist
SHERMAN KAHAN, M.D., P.A. —Frederick, MD
- $16 - $18 an hour
- Full-time
- HIPAA
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Imaging Scheduler (Hybrid), Day Shift, Non-Acute Pre Services
Adventist HealthCare —Gaithersburg, MD
- $20.07 - $26.42 an hour
- Full-time
- Bilingual
- Customer service
- Pass drug screening
- Free parking
- AD&D insurance
Referral Coordinator
Chase Brexton Health Care —Columbia, MD
- $19.50 - $22.13 an hour
- Full-time
- Medical office experience
- HIPAA
- High school diploma or GED
Quick Apply
11d
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
Business Services Specialist
University of Maryland —College Park, MD
- $49,582 - $59,498 a year
- Full-time
- Background check
- Writing skills
- Basic math
12d
Prof Fee AR Specialist CBO, FT Hybrid
University of Maryland Medical System —Linthicum Heights, MD
- Full-time
- Word processing
- Basic math
- Research
13d

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Scheduler & Authorization Specialist

OrthoMaryland -
Baltimore, MD

Quick Apply

Job Details

3 days ago

Qualifications

Database systems
Employee relationship building
English
High school diploma or GED
Typing
Productivity software
Cross-functional collaboration
Medical terminology

Full Job Description

Position Summary/Scope of Responsibility

The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. With approximately 2,000 employees, working in 28 Divisions, CAO is a growing business with revenues of approximately $250 Million. CAO is committed to be the Orthopaedics provider of choice for our patients; partner of choice for payors and health systems; and employer of choice by attracting and retaining a talented workforce.

The Scheduler and Authorization Specialist is responsible for performing a variety of patient registration, scheduling, and insurance verification duties. Answers phone calls from patients with professionalism and efficiency to get them registered and scheduled. Responds to routine inquiries regarding online and in office scheduling. Drives requests, tracking, and obtaining of pre-authorization from insurers within time allotted for medical and therapy services being performed. Significant understanding of benefits and prior authorization as well as excellent multi-taking skills and attention to detail are paramount to complete the many aspects of this role.

Duties include, but are not limited to:

Contribute to the achievement of excellence in health care to fulfill the mission of the unit.

Exhibit strong and care-focused customer service skills in daily interaction with the public, patients, staff, and physicians in the performance of job duties.

Scheduling, changing, and updating patient appointments.

Interview patients for demographic information, evaluate eligibility, collect co-pays, deductibles, including but not limited to insurance verification.

Contact insurance carriers to verify patient’s insurance eligibility, benefits, and requirements.

Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and Therapy services.

Process insurance authorizations and update patient records.

Research referrals to deny or approve based on information obtained and appropriately identify diagnosis (CPT and ICD-10 coding).

Operate online insurance verification websites.

Communicate any insurance changes or trends among team.

Respond to patient inquiries, questions, and scheduling requests.

Participate in department's Performance Improvement activities.

Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.

Educate patients and coworkers on preauthorization process and assist with understanding coverage information.

Utilize computer software programs, as needed, to communicate and understand patient needs (i.e. scheduling, EMR, etc.)

Report all necessary information and/or unusual occurrences in accordance with established policies and procedures.

Participate in orientation programs.

Ensures consistent compliance with all regulatory and CAO guidelines, policies, and procedures.

Performs other duties as assigned.

Required Education & Experience

High School Diploma or equivalent.
1 – 2 years of medical office experience is preferred.
Proficient knowledge in medical terminology.
Above average spelling and typing skills needed.
Proficient computer software (Online insurance websites and DASH) and database skills.
Proficiency with Microsoft Office suite of products.
Experience collaborating across multiple functions.
Experience innovating in a fast-growing work environment and dealing with ambiguity.

Competencies/Required Skills & Abilities

Strong Interpersonal Skills - Ability to develop relationships and collaborate and influence in a decentralized organization.
Demonstrated ability to organize, prioritize, and manage multiple tasks in a dynamic environment with a proven track record of results.
Strong oral and written communication skills with excellent self-discipline and patience.
Able to work independently.
Excellent time management, organization, and administrative support skills.
Must be able to read, write, speak, understand, and communicate in the English language.

Physical Demands

Must be able to sit for long periods of time and lift up to 25 pounds.
Must be able to use appropriate body mechanics techniques when performing desk duties.
Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting.
Adequate hearing to perform duties in person and over telephone.
Must be able to communicate clearly to patients in person and over the telephone.
Visual acuity adequate to perform job duties, including reading materials from printed sources and computer screens.

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.

Quick Apply

Refine Your Search

prior authorization specialist jobs in maryland

Scheduler & Authorization Specialist

Medication Access Coordinator II

Patient Accounts Coordinator - Auth and Elig Specialist

Prior Authorization Certified Pharmacy Technician

Payor Clearance Specialist

ADMISSIONS AUTHORIZATION SPECIALIST

Financial Clearance Specialist

Benefits & Auth for Physical Therapy

Prior Authorization Representative

Coordinator - Prior Authorization Verification and Eligibility

Insurance Verification & Authorization Specialist

Patient Coverage Verification Specialist

Senior Financial Clearance Specialist, Day

Federal Workforce Career Center Program Coordinator

Authorizations Specialist

Imaging Scheduler (Hybrid), Day Shift, Non-Acute Pre Services

Referral Coordinator

Scheduler & Authorization Specialist

Business Services Specialist

Prof Fee AR Specialist CBO, FT Hybrid

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