Top 5 Prior authorization specialist Jobs in Wilmington, Nc

Authorization Specialist
EMERGEORTHO, P.A. —Wilmington, NC
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
- Health savings account
- Paid holidays
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13d
Insurance Verification Specialist - 3147/Remote - Full Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- Remote
- HIPAA
- High school diploma or GED
- Organizational skills
Surgery Scheduler
EMERGEORTHO, P.A. —Wilmington, NC
- Full-time
- Anatomy knowledge
- Surgery
- Computer literacy
- Health savings account
- Paid holidays
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2d
Patient Access Specialist
Novant Health —Wilmington, NC
- Weekends as needed
- High school diploma or GED
- Clinic
- Driving
1d
Front Office Coordinator - Wilmington (New Hanov), NC
Pivot Physical Therapy —Wilmington, NC
- $15.00 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
6d

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Medical Assistant
EMERGEORTHO, P.A. —Wilmington, NC
CMA Certification, or other equivalent education, certification, licensure, or related degree preferred. Maintains a pleasant and cooperative demeanor while…
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Authorization Specialist
EMERGEORTHO, P.A. —Wilmington, NC
Perform follow-up calls within 3 business days regarding the authorization status. Eligibility, benefits, and authorization are obtained online or via telephone…
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13d

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Prior Authorization Specialist
WSD —Westerville, OH
Must have prior experience with insurances and prior authorizations. Collaborate with clinical staff to ensure timely approvals for patient treatments.
$18 - $25 an hour
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Revenue Cycle & Prior Authorization Specialist
360 Vascular Institute —Dublin, OH
Assist patients with billing questions and payment arrangements. Obtain prior authorizations and referrals for office visits, imaging studies, and *endovascular…
$20 - $25 an hour
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Authorization Specialist

EMERGEORTHO, P.A. -
Wilmington, NC

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Job Details

Full-time
13 days ago

Benefits

Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Life insurance
Pet insurance

Qualifications

Customer communication
Electronic health records (EHR) management
Medical coding
Professional ethics
High school diploma or GED
Clinical confidentiality policies
Managing patient records

Full Job Description

The Authorizations Specialist is responsible for obtaining and applying all required authorizations, enabling the appropriate compensation for medical claims. Confirms patients’ insurance eligibility while obtaining authorization. The specialist acts as a liaison between referring physicians’ offices, case managers, adjusters, and social workers to obtain required authorizations.

Qualifications and Experience

High school diploma or equivalent
Previous experience in insurance billing and coding
Minimum two years of patient service experience in a healthcare setting
Ability to act with integrity, professionalism, and confidentiality
Experience using electronic medical records systems
Excellent communication and interpersonal skills
Excellent organizational skills and attention to detail

Responsibilities include, but are not limited to the following

Obtains orders from the physician
Log all orders in EMR for accurate tracking and scheduling
Eligibility, benefits, and authorization are obtained online or via telephone
Respond to clinical requests by providing accurate information. Perform follow-up calls within 3 business days regarding the authorization status
If a peer-to-peer review is needed prior to obtaining authorization, we will schedule with our physician and the insurance carrier’s Medical Director
If the request is to have the patient be sent to an outside physician for treatment the office notes, patient demographics, and insurance card(s) are faxed to the outside physician’s office for an appointment
Follow up on requests within 7-10 days to confirm accurate information has been received and confirm an appointment has been made
Work diagnostic orders within 3-5 days of receipt. STAT orders are worked on immediately
Obtain surgical authorizations 10 days prior to the surgery date unless the surgery is scheduled as a STAT
Maintain the electronic log sheet, generated for physical therapy patients indicating patient demographics and therapy caps
Maintains clinic and patient confidentiality
Performs other duties as required and assigned by Manager, including schedule changes and travel to office locations as assigned

From the mountains to the coast, EmergeOrtho is North Carolina’s premier provider, recognized for offering world-class, comprehensive, and compassionate care serving patients with 67 locations in 28 counties. As the largest physician-owned orthopedic practice in the state and the 2nd in the country, EmergeOrtho’s medical team includes upwards of 190 highly trained orthopedic specialists and nearly as many advanced practice providers. Our subspecialty orthopedic teams offer advanced expertise in conditions of the bones, muscles, and joints. Providing multiple locations, extensive orthopedic services including therapy, and focusing on continuity of care are among the top priorities of EmergeOrtho. Please visit https://emergeortho.com/careers/ for additional information or to apply directly.

EmergeOrtho, P.A. complies with applicable civil rights laws and does not discriminate based on race, color, religion, national origin, age, sex, gender identity or expression, sexual orientation, pregnancy, childbirth and related conditions, including but not limited to, lactation, disability, veteran status, genetic information, or any other class protected by the state or local law.

We are committed to the core values of Quality, Innovation, Compassion, Community, Education, Integrity, Teamwork, Diversity, and Inclusion. https://emergeortho.com/non-discrimination-notice/

Benefits:

401(k) Retirement plan
Health Insurance
Dental Insurance
Vision Insurance
Flexible spending account
Health savings account
Paid time off
Holiday Pay
Employee Assistance Program
Life Insurance
Short Term Disability
Long Term Disability
Pet Insurance
Milestone Bonus Program
For more information: https://emergeortho.com/jobs-in-healthcare/our-benefits/

Note: Available benefits based on hours worked per week.

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Refine Your Search

prior authorization specialist jobs in wilmington, nc

Authorization Specialist

Insurance Verification Specialist - 3147/Remote - Full Time

Surgery Scheduler

Patient Access Specialist

Front Office Coordinator - Wilmington (New Hanov), NC

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