Prior Authorization Specialist Position Available In Autauga, Alabama

Prior Authorization Specialist Medical Care Associates – Prattville 744 E Main St, Prattville, AL 36067 Overview We are seeking a dedicated and detail-oriented Prior Authorization Specialist to join our healthcare team. This role is essential in ensuring that patients receive the necessary medical services and treatments by obtaining prior authorizations from insurance providers. The ideal candidate will have a strong understanding of medical terminology, coding, and the prior authorization process, as well as excellent communication skills to effectively liaise with healthcare providers and insurance companies. Duties Review and process prior authorization requests for medical services, procedures, and medications. Verify patient insurance coverage and eligibility to ensure compliance with insurance policies. Utilize ICD-10 coding systems to accurately document diagnoses and procedures. Maintain accurate medical records and documentation related to prior authorizations. Communicate with healthcare providers, patients, and insurance companies regarding authorization statuses. Follow up on pending authorizations to expedite the approval process. Stay updated on changes in insurance policies, medical coding, and regulations affecting prior authorizations. Collaborate with the medical office team to ensure seamless patient care and service delivery. Requirements Previous experience in a medical office setting preferred. Proficiency in medical terminology and understanding of medical records management. Familiarity with ICD-10 coding systems is essential. Strong organizational skills with attention to detail in documentation processes. Excellent communication skills for effective interaction with patients, providers, and insurers. Ability to work independently as well as part of a team in a fast-paced environment. Knowledge of insurance verification processes is a plus.

Job Types:

Full-time, Part-time Pay:

$14.00 – $17.62 per hour Expected hours: 24 – 40 per week

Benefits:

401(k) matching Health insurance Paid time off

Experience:

Medical Office:

1 year (Required)

License/Certification:

Certified Medical Assistant (Preferred) Ability to

Commute:

Prattville, AL 36067 (Required) Ability to

Relocate:

Prattville, AL 36067: Relocate before starting work (Preferred)

Work Location:

In person