```Duties:``` - Review and process prior authorization requests for medical procedures, treatments, and medications - Verify insurance coverage and eligibility for requested services - Ensure all necessary documentation is complete and accurate for submission - Communicate with healthcare providers, insurance companies, and patients to gather additional information as needed - Utilize medical coding systems (ICD-9, ICD-10) to accurately assign codes to procedures and diagnoses - Adhere to HIPAA regulations and maintain patient confidentiality - Maintain up-to-date knowledge of insurance policies and guidelines related to prior authorizations - Collaborate with healthcare team members to ensure timely processing of authorizations ```Qualifications:``` - High school diploma or equivalent required; associate's degree in healthcare administration or related field preferred - Previous experience working in a medical office or dental office setting is highly desirable - Strong knowledge of medical terminology and coding principles - Proficient in insurance verification processes and prior authorization procedures - Excellent attention to detail and ability to accurately review and analyze documentation - Effective communication skills, both written and verbal, with the ability to interact professionally with patients, providers, and insurance representatives - Familiarity with HIPAA regulations and commitment to maintaining patient privacy and confidentiality Note: This job description is not intended to be all-inclusive. The employee may perform other related duties as assigned.
Job Types: Full-time, Part-time
Pay: $38.15 - $38.25 per hour
Expected hours: No more than 32 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
Ability to Relocate:
- Lawrence, MA 01843: Relocate before starting work (Required)
Work Location: In person