Top 17 Prior authorization specialist Jobs in Waldorf, Md

Pre-Registration Specialist, Per Diem
Samaritan —Washington, DC
- $21.10 - $26.26 an hour
- Part-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
Quick Apply
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
11d
scheduling specialist
RAYUS Radiology —Woodbridge, VA
- Full-time
- Bilingual
- Computer literacy
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Staff Assistant
US Architect of the Capitol —Washington, DC
- $85,447 - $133,142 a year
- Online Application
- Background check
- Pass drug screening
- Office
- Paid holidays
- Loan repayment program
2d
Office Management Specialist
Social Impact —Washington, DC
- Full-time
- Microsoft Excel
- Microsoft Outlook
- English
- Travel reimbursement
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
10d
Billing Specialist
PRESTIGE HEALTHCARE RESOURCES INC —Washington, DC
- $22 - $24 an hour
- Microsoft Outlook
- HIPAA
- Mid-level
Quick Apply
11d
Surgical Coordinator - Hybrid
Pelvic Rehabilitation Medicine —Falls Church, VA
- $24 - $28 an hour
- Full-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
Quick Apply
Front Office Coordinator - Washington (U St), DC
Pivot Physical Therapy —Washington, DC
- $17.95 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
3d
Security Assistant (5599)
Three Saints Bay, LLC —Arlington, VA
- Background check
- Office
- High school diploma or GED
Quick Apply
DENTAL SERVICES REPRESENTATIVE BILINGUAL
Whitman-Walker Health —Washington, DC
- $21.79 - $27.24 an hour
- Spanish
- Dental office
- HIPAA
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 - 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 Desk Receptionist
US Foot & Ankle Specialists —McLean, VA
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Deployment Strategist - Palantir Foundry
Accenture Federal Services —Washington, DC
- $126,300 - $243,100 a year
- Mid-level
- Analysis skills
- Travel

Related jobs to explore

Based on your search for prior authorization specialist

Insurance Authorization and Pre-Certification Specialist
Medical Practice —Odenton, MD
Must have proficient knowledge of insurance requirements, medical/clinical terminology, medical necessity associated with various clinical procedure codes and…
$21 - $24 an hour
Quick Apply
12d
Health Information Management (HIM) Analyst – Epic HIM / Solventum / Payor Platform
Interscripts, Inc. —Chantilly, VA
Bachelor's degree in Health Information Management, Health Informatics, Healthcare Administration, Information Technology, or a related field preferred.
Quick Apply
10d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

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
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

Show more jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in waldorf, md

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 waldorf, md

Security Officer jobs in Arlington, VA

Billing Specialist jobs in Washington, DC

Front Office Coordinator jobs in Washington, DC

Front Desk Receptionist jobs in McLean, VA

Intake Coordinator jobs in Fairfax, VA

Registration Specialist jobs in Washington, DC

Patient Services Representative jobs in Washington, DC

Office Manager jobs in Washington, DC

Scheduler jobs in Woodbridge, VA

Staff Assistant jobs in Washington, DC

Patient Representative jobs in Woodbridge, VA

Security Officer jobs in Bethesda, MD

Chief Information Officer jobs in New Jersey

Comptia Security+ jobs in Dallas, TX

Security Officer jobs in Fredericksburg, VA

Cadet Officer jobs in Houston, TX

Security Officer jobs in San Mateo, CA

Security Officer jobs in Detroit, MI

Billing Specialist jobs in Marietta, GA

Entry Level Payroll Specialist jobs in Dallas, TX

Pre-Registration Specialist, Per Diem

Samaritan -
Washington, DC

Quick Apply

Job Details

Part-time
$21.10 - $26.26 an hour

Qualifications

High school diploma or GED

Full Job Description

Our Mission

All of us, for each of you, every time.

Our Vision

Together, serving as the trusted regional healthcare partner.

Our Values

Listen~Love~Respect~Excel~Innovate

At Samaritan, we do more than deliver healthcare—we make a meaningful difference in the lives of our community every day. We’re committed to creating an exceptional workplace where professionals feel valued, supported, and inspired to provide outstanding care to every patient we serve.

The Pre-Registration Specialist serves the organization by pre-registering scheduled patients for Hospital and Clinic services. This includes contacting patients, guarantors, provider offices, and insurance companies by phone or electronically to provide high quality customer service, obtain key data elements such as demographics, insurance coverage and benefits, and aid in the completion of other functions to ensure a seamless future check-in process. The Pre-Registration Specialist will be responsible for addressing inquiries or concerns that may arise during the pre-registration process, ensuring that all patient information is accurate and up-to-date, along with directly assisting in the enrollment and activation process for MyChart, which enables patients to communicate with their health care provider(s) and connect directly to patient’s electronic medical record. The pre-registration process contributes to reduced patient wait times, improved patient satisfaction, and reduced denials stemming from front-end activities. This position is vital in creating a positive first impression for patients and their families, setting the tone for their overall experience at Samaritan Healthcare. This professional works collaboratively with scheduling, Hospital and Clinic Patient Service departments, physician offices and Financial Access Specialists to ensure patient wait times are minimized on the day of service.

This is a per diem position working various hours for a total of variable hours a week.

EXTRA INCENTIVE:

In lieu of benefits, receive additional 12% differential.

WORK ENVIRONMENT

The professional in this position reports to the Patient Access Manager. This position works closely with scheduling, Hospital and Clinic Patient Services departments, physician offices and Financial Access Specialists to ensure accounts are fully complete directly after scheduling. Pre-Registration hours of operation are 8:00 AM to 8:00 PM, Monday through Friday with varying shifts. A remote work program is offered to professionals who successfully complete the training program along with meeting performance metrics and expectations.

SPECIFIC ACCOUNTABILITIES (not limited to):

Access assignments via work queue(s)

Contacts scheduled patients by phone to obtain key data elements (e.g. name, employer, email address, phone, mailing/physical address, guarantor, provider(s), etc.).

Ensures accuracy and completeness of patient information, including insurance name, plan subscriber details, identification and group numbers.

Clearly documents missing key data elements to be collected at the time of service (e.g. Photo ID, PCP Change Form, insurance card(s), email address, etc.)

Provides patient contact via out bound and inbound calls.

Directly assist with the enrollment and activation process for MyChart, which enables patients to communicate via secure online portal with their health care provider(s) and connect directly to patient’s electronic medical record.

Contacts insurance carrier and/or reimbursement sources via telephone and/or electronic tools to verify eligibility and obtain all applicable benefits pertaining to scheduled services.

Uploads and scans documents to support pre-registration accuracy (e.g., insurance verification).

Assists with retrieval of prior authorization numbers from ordering providers office(s) and/or insurance payor websites and documents, as necessary.

Collaborates with patients, revenue cycle professionals, clinical departments, and referring provider offices to ensure that all necessary information is obtained prior to services

Thoroughly documents all details obtained from insurance representatives, including benefits, authorization and call reference number(s), when applicable.

Maintain general understanding of Medicare, Medicaid, and commercial healthcare plans.

Participates and assists with training and mentoring staff members according to the organization's training programs.

Refers uninsured, underinsured, and low-income patients to Financial Access Specialists or Financial Counselors to secure financial arrangements prior to services.

Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details (e.g., name, spouse’s name, Social Security Number, date of birth, address).

Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries when necessary.

Ensures patients have logistical information necessary to receive their service (e.g., appointment place, date and time, directions to facility).

Ensures no injuries to self or others by following safe work practices and policies. This includes, but is not limited to: security and safety, understanding of MSDS, equipment, infection control, fire, disaster, safe lifting and body mechanics.

Ensures self-compliance with organization policies and procedures, as well as labor agreements.

Ensures the interface with team members and other support groups is conducted in a courteous and efficient manner conducive with the organization’s values.

Conducts self in a professional manner and ensures personal appearance meets the standards necessary to perform the job function while representing the organization.

Ensures that additional accountabilities, as may be required by management, be handled in a manner necessary to meet organizational standards.

POSITION QUALIFICATIONS (not limited to):

Education:

High school diploma or equivalent required.

Experience:

One (1) year work experience in a healthcare patient access setting preferred (e.g., admitting, scheduling, registration, billing, medical records).

One year of customer service experience preferred; experience with general office equipment.

Skills/Competencies:

Working knowledge of medical terminology

Excellent interpersonal, verbal and written communication skills required.

Ability to adapt to multiple/various platforms, programs and systems.

Demonstrates competency on equipment listed on department specific checklist.

Critical thinking skills: Seeks resources for direction, when necessary. Performs independent problem solving. Decision-making is logical and deliberate.

Performs actions that demonstrate accountability. Exercises safe judgment in decision-making. Practices within legal and ethical guidelines.

Demonstrates competency in ability to care for customers/patients across the age continuum.

PHYSICAL REQUIREMENTS:

Occasional standing, walking, lifting, reaching, kneeling, bending, stooping, pushing and pulling. Light physical effort but mostly sedentary work. Prolonged periods of sitting.

Ability to lift up to 25 lbs.

Good reading eyesight; color vision – ability to distinguish and identify different colors.

Ability to communicate using verbal and/or written skills for accurate exchange of information with physicians, nurses, health care professionals, patients and/or family, and the public.

As a Samaritan professional, you will be asked to commit to being part of a culture grounded in our Mission, Vision, Values, and Strategy that brings service and operational excellence to life each day while creating an exceptional experience for our patients, professionals, physicians, and students. Additionally, how we present ourselves matters, and adherence to our Professional Appearance Policy reflects the pride, respect, and professionalism we bring to those we serve.

Education

Required

High School or better

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 waldorf, md

Pre-Registration Specialist, Per Diem

PDN Home Health Authorization Specialist

scheduling specialist

Staff Assistant

Office Management Specialist

Intake/Staffing Coordinator

Billing Specialist

Surgical Coordinator - Hybrid

Front Office Coordinator - Washington (U St), DC

Security Assistant (5599)

DENTAL SERVICES REPRESENTATIVE BILINGUAL

Travel Patient Representative

Front Office Coordinator - Springfield, VA

Front Desk Receptionist

Deployment Strategist - Palantir Foundry

Related jobs to explore

Explore jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in waldorf, md

Explore jobs in more locations

Our Mission

Our Vision

Our Values

Education

Job Seeker Tools

Employer Tools

Browse

Stay Connected