Top 34 Prior authorization specialist Jobs in Towson Md

Scheduler & Authorization Specialist
OrthoMaryland —Baltimore, MD
- Remote
- English
- Mid-level
- High school diploma or GED
Quick Apply
1d
Prior Authorization Representative
Clinical Associates, P.A. —Towson, MD
- Full-time
- Medical office experience
- English
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
11d
Prior Authorization Certified Pharmacy Technician
Shields Health Solutions —Baltimore, MD
- $19.45 - $22.21 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
8d
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
20h
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
7d
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
17h
Patient Service Representative - Endocrinology
Clinical Associates, P.A. —Towson, MD
- Full-time
- Basic math
- High school diploma or GED
- Travel
- Health insurance
- Dental insurance
Quick Apply
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
Customer Service Representative
Procare Ambulance of Maryland, Inc. —Rosedale, MD
- $18 - $22 an hour
- Part-time
- Basic math
- HIPAA
- Entry level
- Paid time off
- Employee assistance program
Quick Apply
Financial Clearance Specialist
University of Maryland Medical System —Bel Air, MD
- Full-time
- Medical office experience
- Research
- Mid-level
Coordination Specialist
Peraton —Annapolis Junction, MD
- $112,000 - $179,000 a year
- Bachelor of Science
- 11+ years
- Bachelor's degree
- Health savings account
- Paid holidays
8d
Medical Office Coordinator (Neurology)
Johns Hopkins University —Baltimore, MD
- $16.20 - $28.80 an hour
- Full-time
- Background check
- Surgery
- Mid-level
11d
Surgical Operations Specialist - Neurosurgery
Faculty Physicians Inc. —Glen Burnie, MD
- $23.80 - $35.72 an hour
- Surgery
- Computer literacy
- Medical office experience
Quick Apply
10d
Senior Financial Clearance Specialist, Day
University of Maryland Medical System —Linthicum Heights, MD
- Full-time
- Medical office experience
- Mid-level
- Epic
3h
Patient Experience Associate (Front Desk) - Baltimore Market
Sage Health —Woodlawn, MD
- $19 - $22 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Clinical Pharmacy Technician
Johns Hopkins Care at Home —Baltimore, MD
- $20.53 - $33.90 an hour
- Full-time
- 5 years
- Mid-level
- Outpatient experience
- Tuition reimbursement
Patient Services Coordinator I (Psychiatry)(Bilingual-Spanish)
Kennedy Krieger Institute —Baltimore, MD
- Full-time
- Psychiatry
- High school diploma or GED
- 1 year
Front Desk Receptionist
US Foot & Ankle Specialists —Abingdon, MD
- $19 - $20 an hour
- Microsoft Excel
- Microsoft Outlook
- Sales
- Paid holidays
- Disability insurance
Quick Apply
Prof Fee AR Specialist CBO, FT Hybrid
University of Maryland Medical System —Linthicum Heights, MD
- Full-time
- Word processing
- Basic math
- Research
11d

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Scheduler & Authorization Specialist

OrthoMaryland -
Baltimore, MD

Quick Apply

Job Details

1 day 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 towson md

Scheduler & Authorization Specialist

Prior Authorization Representative

Prior Authorization Certified Pharmacy Technician

ADMISSIONS AUTHORIZATION SPECIALIST

Patient Accounts Coordinator - Auth and Elig Specialist

Medication Access Coordinator II

Patient Service Representative - Endocrinology

Insurance Verification & Authorization Specialist

Patient Coverage Verification Specialist

Customer Service Representative

Financial Clearance Specialist

Coordination Specialist

Medical Office Coordinator (Neurology)

Surgical Operations Specialist - Neurosurgery

Senior Financial Clearance Specialist, Day

Patient Experience Associate (Front Desk) - Baltimore Market

Clinical Pharmacy Technician

Patient Services Coordinator I (Psychiatry)(Bilingual-Spanish)

Front Desk Receptionist

Prof Fee AR Specialist CBO, FT Hybrid

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