Prior Authorization Specialist - Manchester, United States - NH Eye Associates

NH Eye Associates
NH Eye Associates
Verified Company
Manchester, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter


Description




POSITION:
Prior Authorization Specialist


DEPARTMENT:
Billing Department/Surgical Department


REPORTS TO:
Billing Manager


TRAVEL REQUIRED:
N/A


Job Summary:

This individual is responsible for initiating, resolving, and following through on insurance prior authorizations for medications and procedures within the practice.


EXPERIENCE:


  • Related associate degree or experience _preferred._
  • Experience in a healthcare setting and medical terminology _required. Ophthalmology preferred._
  • Computer and accurate data entry skills.

Essential Skills and Abilities:


  • Experience in accurate data entry.
  • Requires attention to detail, strong organization skills and commitment to collaborating and problem solving.
  • Exceptional phone and communication skills.
  • Ability to work with frequent interruptions and respond appropriately to unexpected situations.
  • Ability to interact with physicians and staff and participate as a team member with individuals inside and outside the department.

Responsibilities:


  • Verify patients' insurance coverage in a timely manner.
  • Initiate insurance prior authorization for injectable medications, surgeries, in office procedures.
  • Obtains insurance benefits and translates for qualification.
  • Follow up on status of authorization though various insurance portals or via telephone.
  • Follows up on missing or inaccurate information.
  • Assess accounts for accuracy.
  • Enrolls patients in various assistance programs for payment.
  • Ensures documentation is accurate in patients records.
  • Appeal insurance companies after denials.
  • Communicates with the team and patients regarding statuses.
  • Performs annual reverification process for applicable patients.

Job Types:
Full-time, Part-time

Expected hours: 40 per week


Benefits:


  • 401(k)
  • 401(k)
matching

  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off

Weekly day range:

  • Monday to Friday
  • No weekends

Experience:


  • Insurance verification: 1 year (preferred)
  • Medical billing: 1 year (preferred)

Ability to Commute:

  • Manchester, NH (preferred)

Ability to Relocate:

  • Manchester, NH: Relocate before starting work (preferred)

Work Location:
In person

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