What are the responsibilities and job description for the Prior Authorization Specialist (PART TIME) position at Southwest Ohio ENT Specialists Inc?
Description:
POSITION OVERVIEW
The Prior Authorization Specialist supports the Physicians, clinicians, and patients in obtaining prior authorizations for testing, procedures and surgeries.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Complete and monitor all prior authorizations and documentation for radiology, testing, procedures and surgeries.
- Track prior authorizations and follow up with Surgery Schedulers regarding Peer to Peer reviews with insurance carriers.
- Complete all BCMH paperwork in a timely manner.
- Maintain open communication with the Scheduler regarding their physician’s patient’s status.
- Recognize and appropriately report problems to the Accounts Receivable Manager.
- Handle other duties and special projects as assigned.
EDUCATION, EXPERIENCE & KNOWLEDGE REQUIREMENTS
Education
- High School Diploma or equivalent
Experience
- Minimum 3-5 years medical office experience working with insurance carriers.
Knowledge & Skills
- Proficiency in using computers and ability to learn various software.
- Superior organizational and problem-solving skills, and attention to detail
- Ability to work well in a team environment.
- Strong communication (verbal and written) skills.
- Ability to maintain a pleasant and professional demeanor.
