What are the responsibilities and job description for the Prior Authorization Specialist position at Central Care Cancer Center?
About Us:
Central Care Cancer Center is dedicated to providing cancer care to patients in rural communities. We are currently seeking a Prior Authorization Specialist to join our billing team in Bolivar, MO.
Job Overview:
As a Prior Authorization Specialist, you will play an important role in the billing department, working closely with the clinical staff to ensure timely insurance authorizations. We are seeking candidates with excellent communication, organization, and follow-up skills, who can handle multiple assignments simultaneously while demonstrating attention to detail and good judgment.
Benefits:
- Paid time off
- Paid holidays
- Health insurance
- 401(k) matching
- Dental insurance
- Vision insurance
- Life insurance
Schedule
8:00am-4:30pm Monday-Friday schedule
Essential Functions
- Verify patient insurance benefits, eligibility, and demographic information accurately.
- Submit, obtain, and track insurance authorizations.
- Assist patients in understand their insurance coverage and financial obligations.
- Review patient accounts and set up patient payment agreements when necessary.
- Support optimal insurance coverage.
- Perform medical billing functions, ensuring accuracy and compliance with relevant regulations.
- Identify and obtain other forms of financial assistance to ease patient financial burden.
Job Experience
- Minimum 2 years' experience with Microsoft Word and Excel.
- Medical office experience required, with prior experience in insurance-related roles preferred.
- Demonstrated knowledge of health-care payment methodology including Medicare, Medicaid, HMOs, PPOs and secondary payers.
- Oncology-related experience, medical billing experience, and familiarity with EMR systems are considered a plus.
