Top 13 Prior authorization specialist Jobs in Winder, Ga

Registration Associate - PRN
Children's Healthcare of Atlanta —Dacula, GA
- Part-time
- Microsoft Word
- Basic math
- Office
- On-the-job training
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Medical Billing Specialist
Joint Center —Watkinsville, GA
- $18 - $23 an hour
- Part-time
- Bachelor of Science
- English
- Mid-level
- 401(k)
- Paid time off
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Operations Assistant
Athena Medical Management LLC —Dacula, GA
- $18 - $20 an hour
- Full-time
- Microsoft Outlook
- Pass drug screening
- HIPAA
- Dental insurance
- 401(k)
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Front Office II
Atlanta Oral & Facial Surgery —Dacula, GA
- 8 hour shift
- Dental office
- Surgery
- Writing skills
- Health insurance
- Dental insurance
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5d
Complex Case Scheduler (Surgery Scheduler)
Summit Spine and Joint Centers —Lawrenceville, GA
- Spanish
- Microsoft Outlook
- Surgery
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Customer Experience Specialist
Georgia Expo Manufacturing —Suwanee, GA
- From $60,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
8d
Customer Service Representative
QUIPT HOME MEDICAL INC —Gainesville, GA
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
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PRN RA
Children's Healthcare of Atlanta —Watkinsville, GA
- Part-time
- Microsoft Word
- Basic math
- Office
- On-the-job training
Quick Apply
22h
Front Office III
Beacon Oral Specialists —Duluth, GA
- 8 hour shift
- Dental office
- Surgery
- Writing skills
- Health insurance
- Dental insurance
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5d

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Sales Management Trainee
Enterprise Mobility —Winder, GA
Must have a valid driver's license with no more than 2 moving violations or at-fault accidents in the last 3 years. Must have a Bachelor's degree.
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Complex Case Insurance Authorization Coordinator
Summit Spine and Joint Centers —Lawrenceville, GA
Review schedule ahead of time to determine pre-certification and prior authorization requirements. Excellent knowledge of CPT coding, ICD.10 coding and medical…
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Driver’s license and insurable driving record, if applicable. Adheres to company policies and procedures in addition to regulations, laws and other requirements…
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Registration Associate - PRN

Children's Healthcare of Atlanta -
Dacula, GA

Quick Apply

Job Details

Part-time

Benefits

On-the-job training

Qualifications

Customer communication
High school diploma or GED

Full Job Description

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).

Work Shift

Variable

Work Day(s)

Variable

Shift Start Time

Variable

Shift End Time

Variable

Worker Sub-Type

PRN

Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s.

Job Description

Communicates with patients, families, physicians, quality review, clinical staff, and insurance companies to obtain information and insurance verification to ensure quality patient care and payment of hospital accounts. Collaborates with Appeals department to overturn claims denials. Provides other registration, clerical, and billing support as required, including scheduling, chart creation, charge entry, scanning, and point-of-service collections.

Experience

1 year of experience in healthcare or related clerical, accounting, or customer service experience. Bachelor’s degree or equivalent education may be considered in lieu of experience.

Preferred Qualifications

College degree
1 year of experience in registration
Certified Patient Account Representative (CPAR) or Certified Healthcare Access Associate (CHAA)
Experience using patient registration systems, insurance verification systems, and/or Medicaid portals

Education

High school diploma or equivalent

Certification Summary

No professional certifications required

Knowledge, Skills, and Abilities

Understanding of and familiarity with medical terminology
Basic knowledge of Microsoft Windows and Word
Strong verbal/written communication skills
Demonstrated arithmetic and word mathematical problem-solving skills
Excellent customer service skills
Proven ability to multitask and must be willing to work a flexible schedule, including nights, weekends, and holidays
Ability to travel as needed to support multiple locations or different departments
Ability to uphold highest level of customer service while covering any location

Job Responsibilities

Communicates with patients, families, physicians, clinical staff, and insurance companies to obtain information and insurance verification to ensure quality patient care and payment of hospital accounts.
Interviews patients and families to obtain complete and accurate demographic and financial information and ensures all necessary questionnaires and forms are completed according to pre-determined requirements by government or regulatory agencies.
Enters data into system for registration, billing, patient tracking, charge capture, and reconciliation in a fast, efficient way to minimize patient wait times.
Verifies insurance coverage and/or validates authorizations if applicable.
Explains regulatory financial requirements to patient or responsible party and collects/posts deposits or deductible amounts as required (for outside clinics, could include ensuring that referring physicians have obtained prior insurance authorization as needed and rescheduling appointments if necessary).
Assists Patient Accounting by capturing accurate and compliant data elements to produce clean claims, preventing denials and delayed payments. Serves as liaison between patient and department staff by informing patients and families of procedures and delays, answering questions, offering assistance, relaying messages, and other services that patients and families may require. Escalates immediate needs to appropriate leaders and/or clinical team members.
Ensures wait time communication occurs by updating schedulers and patient information tools as appropriate.
Initiates and executes daily medical record maintenance while maintaining patient confidentiality, including creation of patient charts, filing encounter-specific paperwork, and maintaining correspondence via mailing/faxing with patient’s primary care provider and/or specialists as necessary.
Provides release of medical information as required.
May initiate and perform administrative duties to ensure efficient daily business operations, including participating in the office/department opening and closing procedures, assisting with maintaining, ordering, and restocking front office supplies, and receiving and distributing mail.
Schedules patient appointments when needed, including referral from faxes, phones, or other instructions and contacts physician offices to resolve discrepancies.
Coordinates all aspects of scheduling including procedures, provider visits, and use of resources.
Attends and participates in department meetings according to department standards and may serve on committees representing the department, which could include multi-disciplinary quality and service improvement teams.
Assists Supervisor and/or Manager by being available to teammates, acting as a resource to help complete complicated/complex tasks, on the job training to team, and seeking out opportunities to become actively involved in staff workflow and development.
Prescreens doctor’s orders (scripts) received for new patients to ensure completeness/appropriateness of scheduled appointment (clinic setting).
May prepare case review materials for court preparation for forensic interviewers and providers (clinic setting/Center for Safe and Healthy Children).
Coordinates subpoena process between court system, Child Protection Center, and legal department and facilitates billing process for expert testimony in court cases (clinic setting/Center for Safe and Healthy Children).

Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.

Primary Location Address

2240 Hamilton Creek Pkwy

Job Family

Patient Access

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Refine Your Search

prior authorization specialist jobs in winder, ga

Registration Associate - PRN

Medical Billing Specialist

Operations Assistant

Front Office II

Complex Case Scheduler (Surgery Scheduler)

Customer Experience Specialist

Customer Service Representative

PRN RA

Front Office III

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