Authorizations Specialist - Grand Rapids, United States - Michigan Pain Consultants
Description
CANDIDATE MUST BE LOCATED IN MICHIGAN
JOIN THE MICHIGAN PAIN CONSULTANTS (MPC) FAMILY TODAY Make a difference in the lives of people suffering from chronic pain by working at Michigan's longest established pain management practice
A little about us and why people want to work with us: MPC is a team of highly trained medical professionals specializing in the expert diagnosis and treatment of chronic pain conditions.
We genuinely care about our employees and their families, as well as our patients, and want you to become part of our family.
Benefits that we offer:
- Competitive wages with annual evaluation
- Paid holidays
- No weekends
- Generous vacation time with carryover
- 401(k) with employer match and additional employer contributions
- Health, dental, vision, basic life/AD&D insurance
- Health Savings Account (HSA), including employer contributions
- Voluntary life/AD&D insurance, short
- Additional voluntary benefits including personal excess liability, and legal planning
- Employee Assistance Program
Job Description:
What we're looking for in a team member:
- General knowledge of insurance cards, medical insurance terminology, medical benefits, and CPT and ICD10 coding
- Previous experience with a medical billing company in the account's resolution, prior authorization, or claim appeals department
- Excellent interpersonal skills
- Attention to accuracy and detail in all aspects of responsibilities
- The ability to manage priorities and focus on completing tasks efficiently and within time frames
- Experience performing research utilizing the Internet
- Excellent organizational skills
- Experience implementing and managing organizational protocols
- Flexibility and a willingness to perform other reasonable duties as requested
- Verify patients medical plan benefits and requirements according to their specific medical policy, to ensure necessary procedures are covered by an individual's provider
- Handle incoming and outgoing calls from internal team members, insurance payers, and customers related to insurance benefits
- Determine if prior authorization is required for ordered services
- Ensures appropriate clinical documentation is available and complete before submitting prior authorization
- Send clinical documentation to the insurance company for review and approval
- Follow up with insurance companies to ensure documentation has been received and prior authorization is in process
- Ensure security and confidentiality of data and office technology
- Perform additional daily tasks and/or special projects, as necessary
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