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Cardiovascular Institute of San Diego, Inc.

Prior Authorization Specialist

Career Insights for Medical Claims Processor / Representative

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Based on California data

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What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$47,705 / year median in California

-9% projected decline

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Job Description

Prior Authorization Specialist Cardiovascular Institute of San Diego, Inc. - 1.0 San Diego, CA Job Details Full-time From $22 an hour 18 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Bilingual Spanish Customer communication Google Docs Microsoft Excel Medical claims processing Medicare Medical coding HIPAA Overseeing health insurance pre-authorization Medicaid health insurance Medical billing Microsoft Teams Medical explanation of benefits reviews Individual consumer customer service 10 key typing Full Job Description Duties and responsibilities: We are looking for an experienced Prior Authorization Specialist to work in our Billing Liaison department. This department works hand in hand with our off-site billing service. We are looking for a candidate who is self-motivated, multi-tasker with critical thinking and problem-solving skills.
Schedule:
Monday-Friday 8:00am-5:00pm PST Must possess the following experience: 2+ years of healthcare medical insurance/billing experience Understanding of health plans, PPO, HMO, POS, Medicare and MediCal Ability to read and understand an EOB Knowledge of basic medical coding Understanding of health plans eligibilities and authorizations Proficient in 10 key, Microsoft Office Word, Miscrosoft Teams, Excel and Google Docs Knowledge of business office systems, procedures and HIPAA Exceptional Customer Service Ability to communicate clear and concise information and stay calm under pressure Bilingual Responsibilities include: Health plans follow up regarding eligibilities and authorizations Take patient inquiry calls Review patient account balances. Ability to identify, research and resolve patient inquiries Run credit card payments Mail Handling Gathering of physician hospital charges in a timely manner to batch and send for billing Other miscellaneous duties within the billing department
Job Type:
Full-time Pay:
From $22.00 per hour
Benefits:
401(k) Dental insurance Health insurance Paid time off Vision insurance
Experience:
Medical billing: 2 years (Required)
Language:
Spanish (Required) Ability to
Commute:
San Diego, CA 92123 (Preferred)
Work Location:
In person