What are the responsibilities and job description for the Prior Authorization Coordinator position at StatCare Pulmonary?
Overview
We are seeking a dedicated and detail-oriented Prior Authorization Specialist to join our healthcare team. This role is essential in ensuring that patients receive the necessary medical services and treatments by obtaining prior authorizations from insurance companies. The ideal candidate will possess a strong understanding of medical terminology, coding, and insurance verification processes, particularly within a dental or medical office setting.
Responsibilities
- Review and process requests for prior authorizations for various medical procedures and treatments.
- Communicate effectively with healthcare providers, insurance companies, and patients to gather necessary information.
- Verify patient insurance coverage and eligibility for services.
- Utilize knowledge of ICD-10 and ICD-9 coding to accurately document procedures.
- Maintain compliance with HIPAA regulations while handling sensitive patient information.
- Document all interactions and maintain accurate records of authorization requests.
- Follow up on pending authorizations to ensure timely responses from insurance providers.
- Collaborate with clinical staff to resolve any issues related to authorization denials or delays.
Requirements
- Previous experience in a dental or medical office preferred.
- Strong understanding of medical terminology and coding practices.
- Familiarity with insurance verification processes and requirements.
- Proficiency in using electronic health record (EHR) systems and office software.
- Excellent communication skills, both verbal and written, with a focus on customer service.
- Ability to work independently as well as part of a team in a fast-paced environment.
- Detail-oriented with strong organizational skills to manage multiple tasks effectively.
- Knowledge of HIPAA regulations is essential.
If you are passionate about helping patients navigate their healthcare needs and possess the required skills, we encourage you to apply for this vital role within our organization.
Job Type: Full-time
Pay: $16.00 - $18.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Paid time off
- Vision insurance
Work Location: In person
Salary : $16 - $18
