Find & Apply For Pharmacy Aide Jobs in Fairfax, Virginia

Job Summary We are seeking a dedicated and detail-oriented Medical Assistant specializing in Prior Authorization to join our dynamic healthcare team. In this vital role, you will serve as a key liaison between patients, healthcare providers, and insurance companies, ensuring timely approval of medical procedures and services. Your expertise in medical terminology, insurance policies, and electronic health records (EHR) management will drive efficient operations and exceptional patient care. This position offers an exciting opportunity to contribute to a well-organized, patient-focused environment while utilizing your knowledge of health insurance policies and medical coding. Duties Review and process insurance prior authorization requests accurately and promptly to facilitate patient care. Verify patient insurance coverage and benefits using managed care systems and health insurance policies. Collect, organize, and maintain comprehensive medical records in electronic health records (EHR) systems in compliance with HIPAA regulations. Utilize CPT coding, ICD-9, ICD-10, and ICD coding standards to ensure precise documentation for billing and reimbursement purposes. Communicate effectively with healthcare providers, insurance companies, and patients to gather necessary information for authorization approvals. Ensure compliance with clinical confidentiality policies while handling sensitive medical information. Assist with medical billing, insurance verification, and follow-up on outstanding authorizations or claims issues. Maintain proficiency in Microsoft Office tools for documentation, reporting, and correspondence related to prior authorizations. Stay informed about health insurance policy updates and managed care procedures to optimize authorization processes. Provide excellent customer service by addressing patient inquiries related to insurance coverage and authorization status. Qualifications Proven experience as a Medical Assistant or in a similar medical office role with a focus on prior authorization processes. Strong knowledge of HIPAA regulations, clinical confidentiality policies, and medical terminology. Familiarity with CPT coding, ICD-9, ICD-10 coding standards, and ICD coding practices for accurate documentation. Experience working with electronic health records (EHR/EHR management systems) and Microsoft Office applications. Understanding of health insurance policies, managed care procedures, and insurance verification processes. Excellent communication skills for effective interaction with patients, providers, and insurers. Ability to multitask efficiently in a fast-paced healthcare environment while maintaining attention to detail. Knowledge of medical billing procedures and familiarity with insurance prior authorization workflows is highly desirable. Join our team today to make a meaningful impact by streamlining the authorization process and supporting our commitment to delivering outstanding patient care!

Pay:

$23.00 - $26.50 per hour Expected hours: 8.0 per week

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person