Medical Prior Authorization Specialist Job at InStride Foot & Ankle Specialists, Jacksonville, NC

R0pRSXp1eG9jV2hDZm5MektUSXhZUU11bkE9PQ==
  • InStride Foot & Ankle Specialists
  • Jacksonville, NC

Job Description

Job Description

Job Description

Salary:

Prior Authorization Specialist Job Summary

Assists with the front desk responsibilities of the podiatry practice.

Essential Functions (May perform part or all of the following)

  • Verifies insurance eligibility, authorization, and demographics of current and new patients in an accurate and timely manner
  • Communicates payer authorization and eligibility information
  • Enters insurance authorization and eligibility information
  • Notifies management regarding lack of payer coverage or other service non- coverage issues
  • Performs re-authorization and eligibility checks in a timely manner
  • Communicates and documents information regarding change in authorization and eligibility
  • Monitor and ensure all patient authorization of services are current and quantity and type of services provided meet payer requirements
  • Reviews and ensures appropriate processing of authorizations
  • Answers phones.
  • Demonstrates working knowledge of E.M.R. system.
  • Adhoc duties and responsibilities

Education, Experience and Certifications
High School Diploma or GED required. Computer experience required. Customer Service experience required. Understanding of medical insurance required. Experience with Medical Records Software and practice management software preferred. Front desk medical practice experience required. Must have a working understanding of OSHA & HIPAA compliance.

Physical Requirements
Must be able to sit for long periods of time and work in a fast-paced office environment. Should be able to bend and lift up to 10 lbs.

Reports to:Office Manager and/or Physicians

Job Tags

Work at office,

Similar Jobs

Wonderful Center for Health Innovation

Bilingual Health Coach Job at Wonderful Center for Health Innovation

 ...mission is to transform the paradigm of health and wellness in Californias Central Valley...  ...and work.If you are a qualified Health Coach, you could be a part of a team that is evolving...  ...package includes medical (including 24/7 online access to a physician), vision, dental,... 

Smithfield Foods

Grain Elevator Operator - Petersburg, Va Job at Smithfield Foods

 ...manager. Performs all aspects of grain handling and facility operations.Core Respossibilities Weigh and grade both inbound and outbound...  ..., kneel, crouch, or crawl and talk or hear.Regularly work at elevated heights.Routinely exposed to moving mechanical parts; outside... 

Global Partners

Floating Manager - Alltown Job at Global Partners

 ...Job Description: The Floating Store Manager (FM) is responsible for the management of the ongoing day to day operations of the...  ...bend, twist, stoop, kneel, crouch, climb latter/stairs and lift up to 25 lbs. during a shift. ~ Applicants must be at least... 

My Little World Academy Llc

Daycare Teacher Job at My Little World Academy Llc

 ...Job Description Job Description We are seeking a Daycare Teacher to join our organization! This individual will plan and present...  ...Maintain the health and safety of all students Implement Teaching Strategies Gold Curriculum and conduct assessments Qualifications... 

MACNY

Industrial Painter Job at MACNY

 ...application. Responsibilities To accomplish their primary goal of painting and coating surfaces, Industrial Painters perform many tasks....  ...'ll find a department for every fabrication need. From the in-house milling and machining department, to our burn tables and...