What are the responsibilities and job description for the Prior Authorization Representative position at Comprehensive Spine and Pain?
- Review and process prior authorization requests for medical procedures, treatments, and medications
- Verify insurance coverage and eligibility for requested services
- Communicate with healthcare providers, insurance companies, and patients to gather necessary information for authorization
- Ensure all required documentation is complete and accurate before submitting requests
- Follow up on pending authorizations and provide updates to patients and healthcare providers
- Maintain confidentiality of patient information and adhere to HIPAA regulations
- Stay updated on changes in insurance policies, coding guidelines, and prior authorization requirements
- High school diploma or equivalent required; associate's degree in healthcare administration or related field preferred
- 2 years of experience working in a medical office or healthcare setting preferred
- Strong knowledge of medical terminology, ICD-9, ICD-10 coding systems
- Familiarity with managed care plans and insurance verification processes
- Proficient in using office software applications
- Excellent communication skills, both written and verbal
- Detail-oriented with the ability to prioritize tasks and meet deadlines
- Ability to maintain professionalism and handle sensitive information with discretion
Note: Prior authorization experience is highly preferred.
This is a full-time position located in a medical office. Competitive pay and benefits package offered.
Please submit your resume highlighting your relevant experience to be considered for this position.
Job Type: Full-time
Pay: $15.00 - $20.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
Work Location: In person
Salary : $15 - $20
