What are the responsibilities and job description for the Prior Authorization Representative position at business integra?
Overview
We are seeking a detail-oriented Prior Authorization Specialist to join our team. The ideal candidate will have a background in a dental or medical office setting and possess knowledge of medical terminology, coding, and insurance processes.
Duties
- Review and process prior authorization requests for medical procedures and services
- Verify insurance coverage and eligibility for patients
- Communicate with healthcare providers, insurance companies, and patients to ensure timely approvals
- Maintain accurate and up-to-date records of authorizations and denials
- Utilize ICD-9, ICD-10 codes, and medical records to support authorization requests
- Adhere to HIPAA regulations and maintain patient confidentiality
Skills
- Proficiency in ICD-9 and ICD-10 coding systems
- Knowledge of managed care and insurance verification processes
- Familiarity with medical terminology and medical office procedures
- Strong organizational skills with attention to detail
- Ability to work effectively in a fast-paced environment
- Excellent communication and interpersonal skills
Job Types: Contract, Temporary
Pay: $21.96 - $23.00 per hour
Expected hours: 40 per week
Experience:
- Insurance verification: 1 year (Preferred)
- Medical billing: 1 year (Preferred)
Ability to Commute:
- San Luis Obispo, CA 93401 (Required)
Ability to Relocate:
- San Luis Obispo, CA 93401: Relocate before starting work (Required)
Work Location: In person
Salary : $22 - $23
