Role Description We are seeking a dedicated and capable Prior Authorization Specialist to facilitate the pre-certification process for our patient procedures. The primary responsibilities of this role include:

• Updating patient registration information
• Verification of benefits
• Authorization/pre-certification for all procedures requiring authorization

This position plays a key role in facilitating patient care and effective information intake for billing and collections purposes. Once fully trained, this position offers the opportunity to be remote. Outstanding employees in this role are detailed, accurate, and efficient while striving to deliver the highest level of service. Active communication and respectful collaboration with peers is vital to success. The abilities to multi-task and be flexible are essential.

Qualifications

• Knowledge of medical insurance plans
• Ability to work independently
• Flexible and able to multi-task
• Exceptional attention to detail
• Ability to collaborate and communicate clearly
• Ability to respectfully interact with physicians, providers, peers, and patients
• Outstanding computer and internet skills
• Alignment with HIPAA regulations
• Respect for organizational policies, procedures, systems, and objectives

Requirements

• High school diploma or equivalent
• 1-3 years hospital or medical office experience
• 2 years of medical billing experience preferred

Physical Demands

• Able to sit for an extended period of time in focused work
• Long periods of telephone and computer work