Find & Apply For Insurance Claims / Policy Clerk Jobs in Rock Hill, South Carolina

Overview The Prior Authorization Specialist plays a critical role by ensuring that patients receive the necessary medical services and treatments in a timely manner. This position involves reviewing and processing prior authorization requests for patients, verifying patient insurance coverage, and ensuring compliance with relevant regulations. The ideal candidate will possess strong knowledge of medical terminology. Duties Review and process prior authorization requests for patient imaging /tests. Verify patient insurance coverage and eligibility for services. Communicate with healthcare providers to obtain necessary documentation and clarify any discrepancies. Maintain accurate records of all prior authorization requests and decisions in compliance with HIPAA regulations. Assist in resolving any issues related to denied or delayed authorizations. Stay updated on changes in insurance policies, managed care guidelines, and relevant regulations affecting prior authorizations. Skills Proficient understanding of medical terminology and medical records management. Experience working in a medical office setting is preferred. Excellent organizational skills with attention to detail to ensure accurate processing of authorizations. Effective communication skills for interaction with healthcare providers and insurance representatives. Ability to work independently as well as part of a team in a fast-paced environment. Exceptional customer service.

Job Type:

Full-time Benefits:

401(k) matching Dental insurance Disability insurance Health insurance Life insurance Vision insurance Ability to

Commute:

Rock Hill, SC 29732 (Required) Ability to

Relocate:

Rock Hill, SC 29732: Relocate before starting work (Required)

Work Location:

In person