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Prior Authorization Specialist

SOUTHWEST BREAST AND AESTHETICS LLC

Prior Authorization Specialist

Phoenix, AZ
Full Time
Paid
  • Responsibilities

    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.

    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

    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

    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 $19.00 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)

    Work Location: One location - Phoenix