Top 18 Prior authorization specialist Jobs in North Little Rock, Ar

Prior Authorization Specialist - Little Rock Diagnostic Clinic
ENGAGEMED —Little Rock, AR
- Full-time
- RN License
- Medical office experience
- Basic math
Quick Apply
5d
Insurance Verification Specialist III
University of Arkansas —Little Rock, AR
- $20 an hour
- Full-time
- OSHA
- HIPAA
- Research
- Health insurance
- Dental insurance
Billing Specialist
Access Group, Inc. —Little Rock, AR
- $21 an hour
- Clean driving record
- Word processing
- Computer literacy
Quick Apply
Care Coordinator - Little Rock Market
Sage Health —North Little Rock, AR
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Medical Billing Specialist
Medic Sleep Care —Little Rock, AR
- 8 hour shift
- Microsoft Word
- High school diploma or GED
- Data entry
- Health insurance
- Dental insurance
Quick Apply
Patient Access Specialist
University of Arkansas —Little Rock, AR
- $18.99 an hour
- Full-time
- Internal Medicine
- Administrative experience
- High school diploma or GED
- Health insurance
- Dental insurance
Support Services Specialist
EASTERSEALS ARKANSAS —Little Rock, AR
- HIPAA
- Mid-level
- Outpatient experience
Patient Experience Associate (Front Desk) - Little Rock Market
Sage Health —North Little Rock, AR
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Patient Experience Associate/Care Coordinator— Little Rock Market
Sage Health —North Little Rock, AR
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
12d
PRN Patient Experience Associate/Care Coordinator
Sage Health —North Little Rock, AR
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Billing Specialist
Growth Orthopedics —Bryant, AR
- Remote
- Surgery
- HIPAA
- Mid-level
Quick Apply
10d
Medical Billing Specialist
Premier Gastroenterology Associates —Little Rock, AR
- Full-time
- Medical office experience
- High school diploma or GED
- Medical terminology
Pharmacy Technician IV - Ambulatory Pharmacy
University of Arkansas —Little Rock, AR
- Urgently hiring
- Current TB test
- Bachelor of Science
- Primary Care
- Health insurance
- Dental insurance
10d
Call Center Consumer Loan Specialist
Bank OZK —Little Rock, AR
- Weekends as needed
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Dental insurance
- Paid time off
9d
Access Coordinator II - Neurosciences
University of Arkansas —Little Rock, AR
- $16.88 an hour
- Full-time
- Mid-level
- Microsoft Office
- 3 years
- Health insurance
- Dental insurance

More jobs to discover

Find similar jobs that you might be interested in.

Insurance Verification Specialist III
University of Arkansas —Little Rock, AR
They are responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage & researching…
$20 an hour

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

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
3d
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in north little rock, ar

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization specialist jobs near north little rock, ar

Insurance Verification Specialist jobs in Little Rock, AR

Call Center Representative jobs in Little Rock, AR

Care Coordinator jobs in North Little Rock, AR

Pharmacy Technician jobs in Little Rock, AR

Medical Biller jobs in Little Rock, AR

Front Desk Agent jobs in North Little Rock, AR

Billing Specialist jobs in Little Rock, AR

Patient Access Specialist jobs in Little Rock, AR

Prior Authorization Specialist jobs in Little Rock, AR

Support Specialist jobs in Little Rock, AR

Insurance Verification Specialist jobs in New York, NY

Clinical Documentation Specialist jobs in Richmond, VA

Child Development Specialist jobs in San Diego, CA

Insurance Verification Specialist jobs in Troy, MI

Benefits Specialist jobs in Columbia, SC

Insurance Verification Specialist jobs in El Paso, TX

Insurance Verification Specialist jobs in Mississippi

Life Insurance Agent jobs in Florida

Call Center Representative jobs in Lauderdale Lakes, FL

Call Center Representative jobs in Huntsville, AL

Prior Authorization Specialist - Little Rock Diagnostic Clinic

ENGAGEMED -
Little Rock, AR

Quick Apply

Job Details

Full-time
5 days ago

Qualifications

Medicare
Spreadsheets
Medical office experience
Basic math
ICD-10
Database management
Pre-authorization review for utilization management
Medicare regulations
Desktop applications
Data interpretation
Productivity software
Medical billing regulations compliance
Medical terminology

Full Job Description

Position Title: Prior Authorization Specialist

Department: Clinical

FLSA Status: Non-Exempt

Reports To: Manager

I. Job Summary / Job Purpose

The Prior Authorization Specialist is responsible for obtaining appropriate insurance verification, prior approval and all authorization requirements prior to a patient's arrival for a procedure. To perform authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through actions, a consistent performance standard of excellence to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization related activities including pre-authorizations, notifications, edits, denials, etc. The Authorization Specialist shall demonstrate the philosophy and core values of EngageMED in the performance of duties.

II. Key Responsibilities

Review demographic, billing and insurance information for accuracy.
Verify insurance eligibility. Make necessary corrections.
Obtain Precertification and authorization.
Communicate detailed policy benefits to patients.
Respond to phone calls and correspondence relating to patient accounts.
Professional and Positive communication skills internally and externally
Work under pressure and resolve problems
Ability to navigate insurance carrier websites
Reviews and interprets medical record documentation for patient history, diagnosis, and previous treatment plans to pre-authorize insurance plan determined procedures to avoid financial penalties to patient, provider and facility.
Utilizes payor-specific approved criteria or regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, and drugs in terms of type, frequency, extent, site and duration, and considered effective for the patient's illness, injury, or disease.
Provides referral/pre-notification/authorization services timely to avoid unnecessary delays in treatment and reduce excessive nonclinical administrative time required of providers. Submits pertinent demographic and supporting clinical data to payor to request approval for services being rendered

III. EngageMED Core Expectations

At EngageMED, we expect all our employees to live the values of Reverence, Integrity, Compassion and Excellence at work by:

Honoring and caring for the dignity of all persons in mind, body, and spirit
Ensuring the highest quality of care for those we serve
Working together as a team to achieve our goals
Improving continuously by listening, and asking for and responding to feedback
Seeking new and better ways to meet the needs of those we serve
Using our resources wisely
Understanding how each of our roles contributes to the success of EngageMED.

IV. Core Job Competencies

Core EngageMED Behaviors: The following behaviors have been identified as critical to all staff roles at EngageMED:

Teamwork Orientation: works cooperatively & collaboratively with others toward the accomplishment of shared goals.
Service Orientation: desire to serve and focus one’s efforts on discovering and meeting the needs of internal and external customers.
Achieves Results: reflects a drive to achieve and outperform. Continuously looking for improvements. Accepts responsibility for actions and results.
Learning and Growth: has a commitment to continuous professional and organizational learning
Communication: practices attentive and active listening and can restate opinions of others; communicates messages in a way that has the desired effect.

Role-Specific Behaviors: these additional behaviors are necessary in the role:

Knowledge of clinic referral and scheduling processes and billing/authorization requirements.
Knowledge of federal and state pay requirements, including Medicare, DSHS, HMO/PPO Contracts.
Ability to communicate effectively and to maintain strict confidentiality.
Ability to respond to people and issues promptly and appropriately, to resolve problems.
A team player who handles multiple projects simultaneously in a fast paced environment.
Possess a strong work ethic and a high level of professionalism.

Skills, Knowledge or Abilities critical to this role:

Language Ability: Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to common inquiries or complaints from groups of managers, clients, customers, and the general public.
Math Ability: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills: Must be proficient with the Microsoft Office Suite, Internet navigation, database management, desktop publishing, spreadsheet, and graphic presentation packages.

V. Job Requirements / Qualifications

a. Education / Accreditation / Licensure (required & preferred):

LPN or RN license required.

b. Experience (required and preferred):

Minimum of two years previous hospital or medical office experience in billing, pre-certification and authorization.
Extensive knowledge of authorization processes, insurance guidelines, third party payors, and reimbursement practices
Knowledge and understanding of billing practices
Knowledge and interpretation of medical terminology, ICD-10, and CPT codes
Must be proficient in Microsoft Office applications
Excellent communication and interpersonal skills
Ability to analyze data and use independent judgment

VI. Disclaimers

This job description reflects EngageMED’s assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned.
Critical features of this job are listed above. They may be subject to change at any time due to reasonable accommodation or other reasons.

Quick Apply

Refine Your Search

prior authorization specialist jobs in north little rock, ar

Prior Authorization Specialist - Little Rock Diagnostic Clinic

Insurance Verification Specialist III

Billing Specialist

Care Coordinator - Little Rock Market

Medical Billing Specialist

Patient Access Specialist

Support Services Specialist

Patient Experience Associate (Front Desk) - Little Rock Market

Patient Experience Associate/Care Coordinator— Little Rock Market

PRN Patient Experience Associate/Care Coordinator

Billing Specialist

Medical Billing Specialist

Pharmacy Technician IV - Ambulatory Pharmacy

Call Center Consumer Loan Specialist

Access Coordinator II - Neurosciences

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in north little rock, ar

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected