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    Pre-Certification Specialist - Annapolis, United States - Anne Arundel Urology

    Anne Arundel Urology
    Anne Arundel Urology Annapolis, United States

    3 weeks ago

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    Description

    Job Description

    Position: Prior Authorization Specialist

    Job Type: Full-Time, in-office position located in Annapolis, MD

    Description: Our Billing Department is looking for an experienced Prior Authorization Specialist to conduct thorough insurance and benefit investigations for complex surgical cases. This role demands top-notch organizational abilities, keen attention to detail, and the knack for juggling multiple tasks. The ideal candidate should have prior expertise in securing surgical authorizations, verifying insurance, performing benefit investigations, and posting charges. Adaptability to a fast-paced setting is essential.

    Key Responsibilities:

    • Verify insurance coverage across various types (Medicare, Medicaid, commercial, Worker's Comp)
    • Conduct insurance benefit inquiries
    • Handle Prior Authorizations for over 15 physicians working across multiple hospitals and Ambulatory surgery centers
    • Engage with patients to discuss financial obligations
    • Ensure collection of all patient financial duties before surgeries

    Requirements:

    • Prior experience in Authorization processes
    • Familiarity with Allscripts software is advantageous
    • Background in Urology is a bonus
    • Access to reliable transportation
    • Superb interpersonal skills


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