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SK
Snohomish Kidney Institute
Clinical Prior Authorization Specialist/Certified Medical Assistant
Career Insights for Medical Claims Processor / Representative
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Based on Washington 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.
$47,382 / year median in Washington
-5% projected decline
Job Description
Job Overview This position plays a pivotal role in ensuring the smooth operation of our medical facility. This position requires a dynamic individual who can manage administrative tasks, clinic operations, and provide exceptional support to both staff and patients. The ideal candidate will have experience in medical office administration and be a Certified Medical Assistant. They will have a strong understanding of healthcare regulations and practices. Responsibilities
- Pre-charting for Providers
- Prior Authorizations for medications and procedures
- Lab entry
- Pend medication refills
- Cover PTO (both Admin and Clinical) and lunches for Admins and MAs This role is crucial for maintaining high standards of patient care while ensuring that the clinic operates smoothly and efficiently.