Find & Apply For Insurance Claims / Policy Clerk Jobs in Hackensack, New Jersey

Prior Authorization Specialist with pharmacy technician license Novo Rx Pharmacy Hackensack, NJ Job Details Part-time $20 - $26 an hour 1 day ago Benefits Paid time off Flexible schedule Qualifications Record keeping Customer communication Overseeing health insurance pre-certification Managed care Electronic health records (EHR) management Medical insurance coverage verification Customer service Medical office experience HIPAA Medical coding guidelines Health information regulatory compliance Health record tracking Patient interaction Health information management Clinical confidentiality policies Clinical documentation standards Managing patient records Medical billing regulations compliance Medical terminology Full Job Description Overview Join our dynamic healthcare team as a Prior Authorization Specialist, where your expertise will streamline the approval process for medical services and procedures. In this vital role, you'll serve as the bridge between healthcare providers, insurance companies, and patients, ensuring timely and accurate authorization for necessary treatments. Your proactive approach and detailed knowledge of health insurance policies will help improve patient care and operational efficiency. This position offers an exciting opportunity to make a meaningful impact in a fast-paced, patient-centered environment. Duties Review and process insurance prior authorization requests promptly, ensuring compliance with health insurance policies and clinical guidelines Verify patient insurance coverage and eligibility using Electronic Health Records (EHR) systems and insurance portals Collaborate with healthcare providers to gather necessary documentation, including medical records, clinical notes, and supporting medical coding information such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding Ensure adherence to HIPAA regulations and maintain strict confidentiality of all medical records and patient information Communicate effectively with insurance companies to follow up on pending authorizations and resolve any discrepancies or denials Utilize Microsoft Office tools to document case progress, update records, and generate reports for internal review Stay informed about changes in health insurance policies, managed care procedures, and medical billing practices to provide accurate guidance Requirements Proven experience in a medical office setting or healthcare environment with familiarity in medical terminology, medical records management, and office procedures Strong knowledge of health insurance policies, managed care processes, and insurance verification methods Experience with electronic health records (EHR) systems and EMR/EHR management tools Proficiency in medical coding including CPT, ICD-9, ICD-10, and ICD coding standards for accurate documentation and billing purposes Excellent customer service skills with the ability to communicate clearly with patients, providers, and insurance representatives Understanding of clinical confidentiality policies such as HIPAA to ensure privacy compliance at all times Ability to multitask efficiently while maintaining attention to detail in a fast-paced environment Knowledge of medical billing processes, insurance prior authorization procedures, and healthcare policy regulations Join us in delivering exceptional service by facilitating seamless prior authorization processes that support quality patient care. Your expertise will help reduce delays in treatment approvals while ensuring compliance with all relevant healthcare standards.

Pay:

$20.00 - $26.00 per hour Expected hours: No more than 40.0 per week

Benefits:

Flexible schedule Paid time off

Work Location:

In person