Skip to main content
Tallo logoTallo logo

Find Jobs

Find Jobs Near You – Available Work in Your Location

Skip to job details
Apply for this opportunity

To apply for this job, you'll continue to an external website or email application.

Ghaly Sleep Center

Insurance Verification Specialist / Prior Authorization Specialist

Career Insights for Medical Claims Processor / Representative

See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.

Scorecard

Based on New York data

Review key factors to help you decide if this role fits your goals. How is this calculated?

Were these scores useful?

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.

$48,582 / year median in New York

-4% projected decline

Explore Career

Job Description

Insurance Verification Specialist / Prior Authorization Specialist Ghaly Sleep Center East Syracuse, NY Job Details Part-time | Full-time $18 - $24 an hour 7 hours ago Benefits Health savings account Health insurance Dental insurance 401(k) Flexible spending account Paid time off Vision insurance 401(k) matching Life insurance Retirement plan Qualifications Customer communication Insurance verification Data interpretation Full Job Description !!•Join our team•!!
Job description:
Prior Authorization Specialist Position Position Summary:
This position is responsible for verifying insurance eligibility, benefits, coordination of benefits, and authorization requirements; obtaining insurance referrals and pre-authorizations for procedures, scheduling appointments for outpatient testing with other providers, transcribes and triages patient calls to physicians, coordinates patient appointments/orders.
Position Requirements:
Experience:
Previous experience in a medical clinic setting preferred.
Knowledge/Skills/Abilities:
Must have excellent verbal and written communication skills. Requires effective customer relation skills, ability to organize and interpret data. Requires good judgment, tact, diplomacy, and ability to problem solve. Able to work effectively in a team environment. Able to use a computer, online portals, and related software.
Job Responsibilities:
Contact insurance carriers to verify patient's insurance eligibility, benefits and requirements. Request, track and obtain insurance referrals and pre-authorization from insurance carriers within time allotted for services. Request, follow up and secure prior-authorizations prior to services being performed. Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations. Communicate any insurance changes or trends among team. Maintains a level of productivity suitable for the department. Maintains patient and records confidentiality at all times according to HIPPA Compliance Guidelines Maintain knowledge of medical insurance requirements on each plan Interacting with patients in a positive and helpful manner, provide information and assistance as needed Having a good understanding of insurance is required. Ideal candidate would have great communication skills, ability to multitask and be detail oriented, and be comfortable speaking with insurance companies, medical offices, and patients. Experience with Microsoft Word, AthenaHealth, Excel and Outlook.
Job Types:
Full-time, Part-time Benefits:
401(k) 401(k) matching Dental insurance Flexible spending account Health insurance Health savings account Life insurance Paid time off Vision insurance
Work Location:
Remote Job Types:
Full-time, Part-time Pay:
$18.00 - $24.00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Flexible spending account Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance
Experience:
Insurance verification: 3 years (Required)
Work Location:
In person