Prior Authorization Specialist Position Available In Chatham, Georgia
Tallo's Job Summary: The Prior Authorization Specialist at Savii Health in Savannah, GA, plays a vital role in ensuring timely access to medical services for patients. Responsibilities include reviewing authorization requests, verifying eligibility, and maintaining compliance with insurance guidelines. Ideal candidates have knowledge of medical coding, customer service experience, and familiarity with HIPAA regulations. Starting at $17 an hour, this full-time position offers benefits such as health insurance, paid time off, and a 401(k).
Job Description
Prior Authorization Specialist Savii Health – 2.0 Savannah, GA Job Details Full-time From $17 an hour 2 days ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Life insurance Qualifications Athenahealth Insurance verification Managed care ICD coding Customer service Medical office experience HIPAA Pharmacy technician experience
ICD-9 ICD-10
Organizational skills Phone etiquette Care plans Medical terminology Communication skills Entry level Full Job Description Job Overview The Prior Authorization Specialist plays a crucial role in the healthcare system by ensuring that patients receive necessary medical services and treatments in a timely manner. This position involves reviewing and processing prior authorization requests from healthcare providers, verifying patient eligibility, and ensuring compliance with insurance guidelines. The ideal candidate will possess strong knowledge of medical terminology and coding, as well as experience in a medical office environment. Duties Review and process prior authorization requests for medical services, procedures, and medications. Verify patient eligibility and benefits through managed care plans. Communicate with healthcare providers to gather necessary documentation and clarify information. Ensure compliance with HIPAA regulations while handling sensitive patient information. Maintain accurate records of prior authorization requests and outcomes in the medical records system. Collaborate with insurance companies to resolve any issues related to authorization denials or appeals. Stay updated on changes in medical coding (ICD-9, ICD-10) and insurance policies that may affect prior authorization processes. Skills Proficient understanding of medical terminology and coding practices. Familiarity with ICD-9 and ICD-10 coding systems. Experience working in a medical office setting is preferred. Knowledge of managed care processes and insurance verification procedures. Strong attention to detail with excellent organizational skills. Ability to communicate effectively with healthcare professionals, patients, and insurance representatives. Understanding of HIPAA regulations regarding patient privacy and confidentiality. Proficient in using office software and electronic health record (EHR) systems. This role is essential for facilitating patient access to necessary healthcare services while ensuring adherence to regulatory standards. If you are detail-oriented, possess strong communication skills, and have a background in medical office operations, we encourage you to apply for this important position.
Job Type:
Full-time Pay:
From $17.00 per hour
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Ability to
Commute:
Savannah, GA 31406 (Required) Ability to
Relocate:
Savannah, GA 31406: Relocate before starting work (Required)
Work Location:
In person
