Top 4821 Medical pre authorization specialist Jobs

Authorization Specialist
The Centers for Advanced Orthopaedics LL —Baltimore, MD
- Remote
- English
- Mid-level
- High school diploma or GED
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Pre-Authorization Referral Specialist
MUSC —Columbia, SC
- Full-time
- Ability to climb stairs
- High school diploma or GED
- Experience equivalent to degree accepted
4d
Prior Authorization Specialist
RAYUS Radiology —Indianapolis, IN
- Full-time
- Remote
- Bilingual
- Computer literacy
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
9d
Insurance Authorization Specialist II
SYSTEM West Virginia University Health System —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Basic math
Precertification/Authorization Specialist
MUSC —Charleston, SC
- Full-time
- High school diploma or GED
- Experience equivalent to degree accepted
- Entry level
Medical Authorization Specialist
GI Associates LLC —Milwaukee, WI
- No weekends
- Ability to walk for extended periods
- Ability to sit for extended periods
- Typing
- Paid holidays
- Disability insurance
Quick Apply
11d
Authorization/Pre-Access Specialist
South Denver Heart Center —Littleton, CO
- $21 - $24 an hour
- Full-time
- Computer literacy
- Medical office experience
- HIPAA
- Disability insurance
- Health insurance
Medical Authorization Specialist II
bioventus —Memphis, TN
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Preauthorization Center Specialist - Pre - Cert Division
UAB Medicine —Birmingham, AL
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Paid parental leave
- Tuition reimbursement
3d
Prior Authorization Specialist I
Boston Medical Center —Remote
- $25.42 - $30.97 an hour
- Part-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Health insurance
- Dental insurance
6d
Utilization Review Nurse
Cobalt Benefits Group LLC —Dallas, TX
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
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9d
Pre-Cert-Insurance Authorization Specialist
Southern Ohio Medical Center —Wheelersburg, OH
- Full-time
- Computer literacy
- High school diploma or GED
- Computer skills
Central Authorization Coordinator
Work from Home —Nashville, TN
- Full-time
- Mid-level
- Analysis skills
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Financial Clearance Specialist - Remote
UMass Memorial Health Care —Worcester, MA
- $20.94 - $29.27 an hour
- 8 hour shift
- Remote
- Medical office experience
- High school diploma or GED
- Computer skills
LPN - Renal Specialists
Riverside Medical Group - Middle Peninsula - Physician Specialists —Gloucester, VA
- $25.80 - $35.48 an hour
- Full-time
- CPR Certification
- Nursing
- Vital signs
Quick Apply
10d
Propane Specialist
Superior Plus Propane —Skaneateles, NY
- $26 - $30 an hour
- Weekends as needed
- CDL B
- Hazmat Endorsement
- Customer service
- Employee assistance program
- Flexible schedule
Quick Apply
Regulatory Affairs Specialist
elliquence, LLC —Baldwin, NY
- $75,000 - $85,000 a year
- Full-time
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Outpatient Infusion/Procedure Nurse
Fall River Health Services —Hot Springs, SD
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
LPN - Family Medicine Clinic
Carilion Clinic —Waynesboro, VA
- From $22 an hour
- Online Application
- Nursing
- Vital signs
- Medical office experience
- Health savings account
- Health insurance
Quick Apply
Medical Billing Specialist with up to 1 year of experience
JS Medical Billing, LLC —Bel Air, MD
- $19 - $22 an hour
- Full-time
- In-person
- 1 year
- Medical terminology
- 401(k)
- Paid time off
Quick Apply
5d

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Authorization Specialist

The Centers for Advanced Orthopaedics LL
Baltimore, MD

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Job Details

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.

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Refine Your Search

medical pre authorization specialist jobs

Authorization Specialist

Pre-Authorization Referral Specialist

Prior Authorization Specialist

Insurance Authorization Specialist II

Precertification/Authorization Specialist

Medical Authorization Specialist

Authorization/Pre-Access Specialist

Medical Authorization Specialist II

Preauthorization Center Specialist - Pre - Cert Division

Prior Authorization Specialist I

Utilization Review Nurse

Pre-Cert-Insurance Authorization Specialist

Central Authorization Coordinator

Financial Clearance Specialist - Remote

LPN - Renal Specialists

Propane Specialist

Regulatory Affairs Specialist

Outpatient Infusion/Procedure Nurse

LPN - Family Medicine Clinic

Medical Billing Specialist with up to 1 year of experience

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