Job Description

PRIOR AUTHORIZATION/BILLING SPECIALIST POSITION OVERVIEW:

A busy Provo medical practice is seeking a motivated PRIOR AUTHORIZATION/BILLING SPECIALIST. If you have important qualities such as organization, dependability, punctuality, reliability, strong interpersonal skills, and are enthusiastic about learning, this is the job for you. PREVIOUS EXPERIENCE IN THE MEDICAL FIELD IS A PLUS, BUT NOT REQUIRED. IF APPLICANT IS WILLING TO LEARN, THE OFFICE IS WILLING TO TRAIN THE RIGHT CANDIDATE. APPLY TODAY!

The Prior-Authorization Specialist is responsible for obtaining PRIOR AUTHORIZATIONS for all procedural orders by successfully completing the AUTHORIZATION process. This position is part of a collaborative work team. The ideal candidate will communicate directly with appropriate clinical services, and/or insurance companies to coordinate prior authorizations. Once prior authorizations are obtained, you'll communicate with the

DUTIES INCLUDE:

• Scheduling
• Requesting, tracking, and obtaining pre-authorization from insurance carriers within time allotted for medical services
• Requesting, following up, and securing pre-authorizations prior to services being performed
• Learning which procedures require pre-authorization with different insurance companies.
• Clearly documents all communications and contacts with providers, insurance companies, and the patients
• Interacts with patients, physicians, office staff, or representatives to obtain required authorization information
• Interacts with insurance payers to provide essential information for pre-authorization.
• Inputs authorization information, patient demographic data, insurance carrier information, and other essential admission information into a database
• Maintains performance measures determined reasonable for the position
• Communicating any insurance changes or trends among your team

SPECIFIC KNOWLEDGE/SKILL REQUIREMENTS:

• Effectively and professionally communicate with patients and/or insurance companies
• Multi-tasking
• Customer service skills
• Phone etiquette
• Basic computer skills

SHIFT:

The schedule is Monday through Thursday, 08:00 am-4:30 pm and Friday 08:00 am-2:00 pm in our Provo office. This is a fun and dynamic work environment! Never work another night or weekend!

BENEFITS INCLUDE:

• Health, life, dental and vision insurance
• PTO
• Holiday pay
• 401(k) plan
• Flexible Spending Account
• Other great benefits.

ANY PREVIOUS EXPERIENCE IN THE MEDICAL FIELD IS A PLUS, BUT NOT REQUIRED. IF APPLICANT IS WILLING TO LEARN, THE OFFICE IS WILLING TO TRAIN THE RIGHT CANDIDATE. APPLY TODAY!

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• High school or equivalent

Language:

• English

Shift Availability:

• Day Shift

Work Location:

• One location

Benefit Conditions:

• Full-time employees eligible

Work Remotely:

• No