What are the responsibilities and job description for the Prior Authorization Representative position at Devcare solution?
Job Overview
As a Prior Authorization Specialist, you will play a crucial role in the healthcare industry by ensuring that patients receive the necessary approvals for medical procedures and treatments. Your attention to detail and knowledge of medical coding and insurance protocols will be essential in facilitating the prior authorization process.
Responsibilities
- Review and process prior authorization requests for medical services
- Verify insurance coverage and eligibility for patients
- Communicate with healthcare providers, insurance companies, and patients to gather necessary information
- Ensure compliance with HIPAA regulations and other relevant guidelines
- Maintain accurate and up-to-date records of prior authorization requests and approvals
Skills
- Proficiency in medical coding, including ICD-9 and ICD-10 codes
- Knowledge of managed care and insurance verification processes
- Familiarity with medical office procedures and documentation
- Understanding of HIPAA regulations and patient confidentiality
- Experience working in an office setting, preferably in a medical or dental office
Job Types: Full-time, Contract
Pay: $17.00 - $22.00 per hour
Expected hours: 37.5 per week
Benefits:
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Insurance verification: 1 year (Preferred)
- Medical billing: 1 year (Preferred)
Ability to Commute:
- Nashville, TN 37243 (Required)
Ability to Relocate:
- Nashville, TN 37243: Relocate before starting work (Required)
Work Location: In person
Salary : $17 - $22
