What are the responsibilities and job description for the Prior Authorization Specialist position at Adult Pediatric Urology & Urogynecology?
The position being filled will precertify procedures and verify benefits in a timely manner. Counsel patients in regard to out of pocket expenses and collect payment for services rendered. Ensure a high level of customer service is maintained on patients’ accounts. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES:
1) Precertifies all surgeries/procedures for the office, hospital and other health care settings. (daily)
2) Verifies benefits for inpatient, outpatient and office procedures including Biofeedback and Urodynamics. (daily)
3) Sends pre-determination letters to payers as needed. (daily)
4) Collects patient payments via credit card or check at point of service or prior to procedure. (daily)
5) Processes Care Credit payments.
6) Verifies referrals from TriCare prior to office visit/procedures. (daily)
7) Enrolls and /or seeks preauthorization for specialty drugs such as Testopel, X-Geva, Prolia, etc., and contacts patients with their projected cost. (as needed)
8) Prepares deposit slip for all front desk collections, billing office and miscellaneous payments. (daily)
9) Act as a resource to patients and their families about their account balances and insurance questions.
10) Covers the duties of other team members as needed.
11) Adheres to Adult and Pediatric Urology policies and procedures, rules and regulations, and other State and Federal regulatory requirements.
13) Must work as a team member and perform actions consistent with established Adult & Pediatric Urology & Urogynecology policies and procedures including standards for safety, attendance, punctuality and personal appearance. Perform other duties as assigned.
Job Type: Full-time
Pay: $22.52 - $24.66 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Education:
- High school or equivalent (Preferred)
Experience:
- Medical office: 1 year (Required)
- pre-certification: 1 year (Required)
- Medical billing: 1 year (Preferred)
- prior authorization: 1 year (Required)
Work Location: In person
Salary : $23 - $25