What are the responsibilities and job description for the Insurance Verification/Prior Authorization Specialist position at Apex Practice Management Group?
Job Summary
We are seeking a detail-oriented Prior Authorization/Insurance verification Specialist to join our team. The ideal candidate will be responsible for obtaining insurance authorizations and check eligibility for medical procedures and services, ensuring timely approvals to facilitate patient care.
Duties
- Review and process prior authorization requests for medical services
- Communicate with healthcare providers, insurance companies, and patients to gather necessary information
- Verify insurance coverage, copays, deductible and eligibility for requested services
- Ensure compliance with HIPAA regulations and company policies
- Maintain accurate records of authorizations and follow-up as needed
Skills
- Proficiency in medical terminology and coding
- Experience working in a medical office or managed care setting
- Knowledge of insurance verification and prior authorization processes
- Familiarity with ENT and Internal Medicine office procedures is a plus
- Strong attention to detail and organizational skills
Job Type: Full-time
Pay: $20.00 - $25.00 per hour
Expected hours: 35 – 40 per week
Experience:
- Insurance verification and Prior authorization: 3 years (Required)
- Medical receptionist: 4 years (Required)
Language:
- Spanish (Required)
Ability to Commute:
- Northridge, CA 91324 (Required)
Ability to Relocate:
- Northridge, CA 91324: Relocate before starting work (Required)
Work Location: In person
Salary : $20 - $25