We are seeking a dependable, compassionate, and a detail-oriented Prior Authorization Specialist to join our healthcare team. This individual will serve as the first point of contact for patients, ensuring a smooth process for authorizations. The ideal candidate will have excellent time management skills, a commitment to providing high-quality patient care, and the ability to handle administrative tasks with precision.

Responsibilities:

Obtain prior authorizations for surgical procedures Schedule patients for procedures and communicate with patients Communicate with insurance companies to verify coverage, benefits, and authorization requirements Perform cost/benefit analysis for patients, including estimating out-of-pocket expenses such as deductibles, copays, and coinsurance Clearly communicate financial responsibility to patients and assist with questions regarding coverage Review clinical documentation to ensure accuracy and completeness for submissions Track and follow up on pending authorizations to prevent delays in patient care Collaborate with providers, clinical staff, and billing team Maintain accurate records and documentation in the practice management system Work on claim denials for the procedures Perform other duties as assigned to support office operations.

Qualifications:

Previous experience with prior authorizations, preferably in a cardiology or specialty practice Strong knowledge of medical billing, insurance plans, and patient benefit structures Experience explaining cost estimates and financial responsibility to patients Exceptional attention to detail and organizational skills Ability to manage multiple tasks and meet deadlines in a fast-paced environment Excellent communication and problem-solving skills Familiarity with EHR and billing systems preferred Billing experience is required

Additional Skills/Traits:

Dependable and punctual with a strong work ethic. Ability to handle sensitive information with discretion and professionalism. Comfortable working with a diverse range of patients and healthcare professionals. Proficient in medical scheduling and managing patient appointments. Familiarity with electronic health records systems. Experience in prior authorizations is required.

Job Type:

Full-time Pay:

$18.00 - $22.00 per hour

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Application Question(s): Do you have experience in Prior Authorizations?

Work Location:

In person