Top 4 Prior authorization specialist Jobs in Oxnard, Ca

Medical Front Desk (Patient Services Specialist)-Ventura Office
CRO Services LLC —Ventura, CA
- $25 - $28 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Patient Intake Specialist
Unicare Health —Thousand Oaks, CA
- 8 hour shift
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
9d
Patient Care Coordinator
CLAVA Health —Thousand Oaks, CA
- $25 - $35 an hour
- Full-time
- HIPAA
- Communication skills
- Entry level
- Paid training
- Paid time off
Quick Apply
Medical Billing/ Insurance Specialist- Cardiology Office
Cardiovascular Care Center —Simi Valley, CA
- $25 - $35 an hour
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
- Health insurance
- Paid time off
Quick Apply
4d

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Medical Front Desk (Patient Services Specialist)-Ventura Office

CRO Services LLC
Ventura, CA

Apply Now

Job Details

Full-time
$25 - $28 an hour

Qualifications

Computer operation
Spanish
Patient scheduling systems
Confidential information handling
Microsoft Excel
Microsoft Outlook
Computer literacy
Writing skills
Windows
Communication platforms
Administrative experience
High school diploma or GED
Clinical information systems
Individual consumer customer service

Full Job Description

SUMMARY

As the Patient Services Specialist, you are responsible for providing administrative and general support to staff, patients, and physicians to ensure that a high quality, professional and efficient administration service is consistently provided to patients. This role is a crucial link between our patients’ and clinical teams.

As Patient Services Specialist, you will ensure a high level of patient service is provided including anticipating needs, maintaining patient service expectations, and reacting to feedback. Specialized duties such as verifying insurance, obtaining pre-authorizations for services, and coordinating with providers and insurance companies.

Performs the following duties personally and coordinates with team members to ensure successful completion of assigned tasks.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Authorization Specific Duties:

Verify patient insurance eligibility and benefits
Obtain and process prior authorizations for appointments, procedures, and treatments
Coordinate with physicians to gather necessary information for approvals
Ensure all necessary documentation for authorization is completed and submitted correctly
Understand and use specialty-specific terminology, like CPT codes

Core Essential Duties:

Monitoring and reacting to patient feedback
Monitoring the flow of patients and directing as appropriate
Answering and attending to all telephone calls in a timely manner
Responding to queries in accordance with the privacy policy
Providing support to Physicians and other internal customers, as required
Assist with patient questions regarding billing and insurance payments
Maintenance and improvement of the patients’ waiting room
Maintaining the look and feel of both patient and employee-facing spaces, restocking supplies, and organization
Dealing with people traffic, by directing vendors and visitors as they come and ensuring compliance to sign in protocols
Scheduling Physician appointments with regard to availability & appropriate timeframes.
Undertaking all actions to support a Physicians clinic visit, including ensuring the completeness of patient records prior to and subsequent to the visit
Admitting and discharging patients, prior to and following, consultation, evaluation and follow-up appointments
Registering new patients in a timely manner and ensuring the accuracy of personal and billing details
Ensuring all documentation and correspondence required for the consultations appointment is registered
Creating referring doctor records as required
Following up on referrals
Document management
Work co-operatively within a multidisciplinary team and assist other team members to achieve team objectives and work outcomes.
Provide excellent customer service

This job description in no way states or implies that these are the only duties to be performed by this employee. He or she will be required to follow any other instructions and to perform any other duties requested by his or her supervisor.

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and EXPERIENCE

High School diploma or GED.
Over 1 year up to and including 3 years of related experience
Demonstrated ability in an administrative role within a busy, customer focused environment, medical preferred.
Experience in handling and resolving urgent matters and time critical medical appointments.
Ability to use clinical administration systems, as well as Microsoft Office software.

COMPUTER SKILLS

To perform this job successfully, an individual should have basic to intermediate knowledge of: Microsoft Office Suite: particularly Outlook Communication Management software, Word, and Excel. Knowledge of patient billing systems and related funding mechanisms. Experience with Internet usage, PC and/or MAC and Windows.

OTHER SKILLS AND ABILITIES

Collaborative approach in working with the wider administration team and other internal customers, in line with the organization values.
Flexible approach to work
Strong organization and communication skills, with the ability to liaise with both internal and external stakeholders.
Proven experience working effectively both independently and in a team environment.
Communicate clearly and concisely, both orally and in writing.
Ability to understand and carry out verbal and written directions.
Follow CRO policies and procedures.
Ability to work independently in the absence of supervision.

OTHER REQUIREMENTS:

Must properly control the release of proprietary and confidential information.
Travel as required to other centers
Must be bilingual in Spanish

Apply Now

Refine Your Search

prior authorization specialist jobs in oxnard, ca

Medical Front Desk (Patient Services Specialist)-Ventura Office

Patient Intake Specialist

Patient Care Coordinator

Medical Billing/ Insurance Specialist- Cardiology Office

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