Benefits:

401(k)

401(k) matching

Dental insurance

Health insurance

Paid time off

Vision insurance

We are looking for a dynamic and friendly prior authorization specialist with a minimum of 1 years experience. This position is responsible for obtaining pre-certifications and pre-authorizations for procedures, appointments and medical exams for our patients of our surgical practice.

ESSENTIAL JOB FUNCTIONS:

Obtain pre-certifications and pre-authorizations for procedures

Responsible for verification of patient insurance and eligibility

Follow up on all pending authorization requests daily to ensure that authorization is received prior to surgery

Update authorizations as needed when insurance plans change or authorization expires

Documents authorization notes and status in EMR

Assist with maintaining policies & procedure documentation

Assist with managing special projects as needed

Document all account activity and correspond to inquiries in a timely manner

Perform other job-related duties as directed by supervisor

Qualifications and Skills:

Organized and detail oriented.

Excellent time management skills

Verify insurance coverage and eligibility.

Review of procedure orders and documentation to determine necessity of prior auth.

Strong communication skills with providers, team members and patients

Excellent written communication skills

Detailed documentation of authorization numbers and process for each prior auth

Maintain accurate patient medical records.

Excellent Customer Service

Familiar with using Apple computers

What We are Looking For:

The ability to build rapport with patients is essential.

A willingness to be flexible and adapt as situations require.

Ability to remain calm if patient becomes distressed.

Personable, optimistic, resilient and possess exceptional interpersonal communication skills.

Excellent written and spoken grammar and typing skills.

EMR/EHR experience is required (Knowledge of AdvancedMD is preferred)

Keen attention to detail.

Ability to take direction and correction as needed.

Performs other related duties as required or assigned.

Document all account activity and correspond to inquiries in a timely manner.

Provide outstanding customer service to patients and develop and maintain positive working relationships with internal and other external customers.

Verify prior authorizations and/or pre-service requirements are met.

Requirements:

High school diploma/ GED required.

Minimum of 1years experience required.

The job is full-time (in the office regular and consistent attendance is required)

Job Type: Full-time

Pay: From $23.00 per hour

Benefits:

401(k)

Dental insurance

Health insurance

Vision insurance

Paid time off

Generous paid time off benefits (vacation, holiday and sick). Two weeks of vacation earned in year one, increasing one week each year until reaching a maximum of four weeks in year four.

Fourteen paid holidays per year including your birthday.

Schedule:

8 hour shift

Monday to Friday

No weekends

Experience:

Prior Authorization: 1 year (Required)

Surgery Pior Authorization (Preferred)

Work Location: One location - Phoenix