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AB
AMC Billing
Pre-Authorization Specialist
Career Insights for Medical Claims Processor / Representative
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Scorecard
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
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 assignedQualifications 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.
Indeed Job Type:
Full-time Pay:
$19.00- $23.