Job Summary:
We are seeking a detail-oriented and experienced Medication / Prior Authorization Specialist to join our team. As a Prior Authorization Specialist, you will be responsible for obtaining insurance authorizations for medical procedures and treatments. Your role will involve running insurance benefit investigations, reviewing medical records, managing medication inventory & ordering, and dispensing meds.
Duties:
- Verify insurance coverage and eligibility for patients
- Run benefit investigations for all patients
- Enrolling patients in appropriate assistance programs
- Review medical records and documentation to determine the need for prior authorizations
- Submit prior authorization requests to insurance companies
- Follow up on pending authorizations and provide necessary documentation as requested
- Communicate with healthcare providers, insurance companies, and patients regarding authorization status and requirements
- Maintain accurate records of all authorizations and related correspondence
- Stay updated on changes in insurance policies and guidelines related to prior authorizations
- Collaborate with the billing department to ensure accurate coding and billing practices
- Oversee Medication inventory and the dispensing of meds
Experience:
To be successful in this role, you should have the following qualifications:
- Previous experience working in a dental or medical office setting (Ophthalmology experience will be prioritized)
- Proficiency in medical terminology and coding (ICD-9, ICD-10)
- Familiarity with insurance verification processes and prior authorization requirements
- Strong attention to detail and ability to accurately review medical records
- Knowledge of HIPAA regulations and ability to maintain patient confidentiality
- Excellent communication skills, both written and verbal
- Extremely strong organizational skills and ability to prioritize tasks effectively
If you meet the above qualifications and are looking for a challenging opportunity in the healthcare industry, we encourage you to apply for the position of Prior Authorization Specialist. We offer competitive compensation and benefits packages, as well as opportunities for professional growth within our organization.
Please note that only qualified candidates will be contacted for further consideration.
Job Type: Full-time
Pay: $16.00 - $19.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Health insurance
- Paid time off
Weekly day range:
- Monday to Friday
- No weekends
Education:
- High school or equivalent (Preferred)
Ability to Relocate:
- Springdale, AR 72764: Relocate before starting work (Required)
Work Location: In person