What are the responsibilities and job description for the Pre-Certification Clerk position at Lawrence Otolaryngology Associates, LLC?
We are seeking a detail-oriented Pre-Certification Clerk to join our team. In this role, you will be responsible for obtaining prior authorizations for medical services and providing patients accurate cost estimates before their procedures. You will work closely with healthcare providers, insurance companies, and patients to gather necessary information to ensure a smooth and efficient claim process.
Key Responsibilities:
- Collect and verify necessary clinical information to complete prior authorization requests.
- Submit authorization requests through online portals or via phone to insurance carriers.
- Obtain cost estimates for medical services based on patient benefits and coverage information.
- Create estimated out-of-pocket costs and pre-payments for patients and ensure patients are informed of their financial responsibilities for the services they will receive.
- Collect pre-payments from patients as needed.
- Communicate with healthcare providers, insurance companies, and patients to resolve authorization issues and obtain required approvals.
- Maintain accuracy and meet deadlines in a fast-paced environment.
Qualifications:
- Experience in medical billing, prior authorization, or insurance verification. 1 years required.
- Strong knowledge of insurance processes, CPT/ICD-10 coding, and medical terminology.
- Excellent math and analytical skills.
- Ability to manage multiple tasks simultaneously.
- Proficient with online insurance portals and cost estimation tools.
- Strong collaboration skills and professional interaction with patients, providers, and insurance companies.
- Detail-oriented with excellent organizational and time-management skills.
- Clear and professional communication skills.
- Ability to work independently or within a team in a high-volume environment.
This position offers remote work flexibility, allowing you to work from home while delivering high-quality service and attention to detail. Full or Part-time position; working hours must be during business hours. If you are self-motivated, organized and experienced in medical billing and prior authorizations, we encourage you to apply!
Job Types: Full-time, Part-time
Expected hours: 25 – 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
Schedule:
- Monday to Friday
Experience:
- medical billing: 1 year (Preferred)
- prior authorization: 1 year (Preferred)
Ability to Commute:
- Lawrence, KS 66044 (Required)
Work Location: Hybrid remote in Lawrence, KS 66044
