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AMC Billing

Pre-Authorization Specialist

Career Insights for Medical Claims Processor / Representative

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Based on Oregon 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.

$44,296 / year median in Oregon

-9% projected decline

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Job Description

Pre-Authorization Specialist AMC Billing Eugene, OR Job Details Full-time $19
  • $23 an hour 21 hours ago Benefits Disability insurance Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program Vision insurance Life insurance Qualifications Customer communication Customer service Medical office experience HIPAA Patient service High school diploma or GED Medical administrative support Typing 10 key typing
Full Job Description Insurance Authorization Specialist Status:
Full-Time Benefits Include:
Competitive pay, employer paid medical, disability and life insurance, 401K & PTO. Job Overview The Insurance Authorization Specialist is responsible for ensuring timely reimbursement by accurately determining covered vs. non-covered products, verifying insurance eligibility and benefits, and securing required authorizations prior to patient services. Position Summary This role verifies insurance benefits and eligibility, obtains prior authorizations, and serves as a professional point of contact between patients, sales staff, and insurance companies. The position requires excellent attention to detail, accurate documentation, and strong customer service skills to support pre-authorization and billing activities. Key Responsibilities Contact insurance companies to verify coverage for DME products Obtain authorization numbers and date spans for ordered services Communicate benefit, co-pay, and deductible data to sales staff Follow up consistently on missing documentation or information Enter detailed notes for each product and action in the data system Create and confirm sales orders Secure valid Proof of Delivery (POD) for delivered orders Perform accurate data entry and 10-key entry Maintain HIPAA compliance and patient confidentiality Perform other duties as assigned
Qualifications Education :
  • High school diploma or equivalent required
  • Medical terminology preferred
Experience :
  • Minimum 1 year medical office or related insurance experience required
  • Knowledge of insurance coverage and contract language
  • Must be able to type at least 40 WPM Desired Skills & Attributes Demonstrates care, respect, and compassion toward all individuals Takes ownership of personal and professional growth Proactive and solutions-oriented Works independently and collaboratively within a team Strong communication and positive work attitude EEO Statement This organization does not discriminate against any person based on race, color, religion, sex, sexual orientation, genetic information, gender identity or expression, national origin, age, disability, citizenship, veteran status, military or uniformed services, or any other status protected by federal, state, or local law.
We comply with all applicable laws governing nondiscrimination in employment and all terms and conditions of employment, including hiring, promotion, transfer, leaves of absence, compensation, training, and termination. Applicants with a mental or physical disability who need reasonable accommodation during the application or hiring process should contact our Human Resources Director. No phone calls please-apply online in
Indeed Job Type:
Full-time Pay:
$19.00
  • $23.
00 per hour
Benefits:
401(k) Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance
Work Location:
In person