What are the responsibilities and job description for the Prior Authorization Specialist position at Rheumatology of Central Indiana?
Job Summary:
We are seeking a detail-oriented Prior Authorization Specialist to join our team. The ideal candidate will have experience in managed care, medical terminology, and insurance verification. This position plays a crucial role in ensuring that patients receive timely approval for medical services.
Responsibilities:
- Review and process prior authorization requests for medical procedures and services
- Verify insurance coverage and ensure all necessary documentation is complete
- Communicate with healthcare providers, insurance companies, and patients regarding authorization status
- Maintain accurate records of authorizations and follow-up as needed
- Stay current on insurance guidelines, HIPAA regulations, and coding requirements
Skills:
- Proficiency in ICD-10 and ICD-9 coding systems
- Knowledge of medical terminology and procedures
- Experience working in a medical
- Familiarity with insurance verification processes
- Strong understanding of HIPAA regulations and patient confidentiality
- Excellent organizational skills with attention to detail
This position offers the opportunity to work in a dynamic healthcare environment where your skills will directly impact patient care. If you are a motivated individual with a passion for ensuring patients receive the care they need, we encourage you to apply.
Qualifications
- Proficient in medical terminology and coding, including ICD-9 and ICD-10
- Strong experience in insurance verification and managed care
- Knowledge of HIPAA regulations and patient care practices
- Familiarity with medical records management and organizational skills
- Previous experience in a medical or dental office setting is preferred
Job Type: Full-time
Pay: $16.00 - $18.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Insurance verification: 2 years (Required)
- Medical billing: 2 years (Preferred)
Ability to Commute:
- Muncie, IN 47304 (Required)
Work Location: In person
Salary : $16 - $18
