Prior Authorization Specialist

Description

The Prior Authorization Specialist works with other specialists in the Billing Department to ensure the proper delivery of billed charges. 

• Complete authorizations and referrals for services, including appointments and procedures
• Review patient's medical history and insurance coverage for approval
• Contact referring physicians for additional information as needed
• Input new patient information and update information in our system
• Monitor schedule for potential issues
• Complete billing documentation
• Check reminders for treatment updates from other departments 
• Assist with other clerical tasks as needed

Requirements

• High school diploma or GED certificate
• Associate degree preferred
• Some experience in medical billing or insurance authorization (strongly preferred)
• Knowledge of medical terminology
• Basic computer skills
• Attention to detail