Prior Authorization & Eligibility Specialist

Prior Authorization & Eligibility Specialist NJ Institute For Pain Relief LLC Cranford, NJ Job Details Full-time $20 - $29 an hour 2 hours ago Benefits Profit sharing Paid holidays Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Opportunities for advancement Qualifications Customer communication Insurance prior authorization Customer service Insurance claim appeals processing Pain management Mid-level High school diploma or

GED ICD-10 EMR/EHR

Medical insurance appeals management CPT coding Patient interaction Orthopedics Medical terminology Communication skills Time management Full Job Description NJ Institute For Pain Relief LLC is a multidisciplinary practice providing pain management, sports medicine, chiropractic care, physical therapy, acupuncture, orthopedic surgery, and spine surgery, including noninvasive surgical procedures. Highly skilled, fellowship trained, and board-certified providers help our patients achieve an improved quality of life through individualized care. With a comprehensive approach and the most advanced minimally invasive treatments, our providers treat all types of acute or chronic pain, effectively and safely. We are seeking a prior authorization & eligibility specialist for our pain management group to join our team in Cranford, New Jersey. As a prior authorization & eligibility specialist, some of your job duties will include: Verifying patient insurance eligibility and benefits for medical services, procedures, and medications. Obtaining prior authorizations and pre-certifications from insurance companies for scheduled treatments and procedures. Reviewing insurance requirements to ensure compliance with payer guidelines and policies. Communicating with physicians, clinical staff, and patients regarding authorization status and insurance coverage. High School Degree 2+ Years Experience (pain management and/or orthopedics experience a plus) Insurance verification Prior authorization processing Medical terminology knowledge EMR/EHR proficiency Attention to detail Communication and customer service Time management Knowledge of

CPT/ICD-10

codes Appeals and denial management Multitasking and organization NJ Institute For Pain Relief LLC is a growing healthcare practice with opportunity for career development and advancement, unique experiences in the medical field and employment throughout New Jersey. We offer benefits including health, dental and vision plans. With competitive compensation, we have an accommodating paid time off model including seven holidays and ten "paid time off" days. We also provide for a 401(k) with employer match and the potential for profit sharing. We look forward to you joining our team of individuals improving health care!