Prior Authorization Specialist (PART TIME)

POSITION OVERVIEW

The Prior Authorization Specialist supports the Physicians, clinicians, and patients in obtaining prior authorizations for testing, procedures and surgeries.  Position will be part time (20-25 hours weekly).   Experience with general medical billing a plus.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Complete and monitor all prior authorizations and documentation for radiology, testing, procedures and surgeries.
• Track prior authorizations and follow up with Surgery Schedulers regarding Peer to Peer reviews with insurance carriers. 
• Complete all BCMH paperwork in a timely manner.
• Maintain open communication with the Scheduler regarding their physician’s patient’s status.
• Recognize and appropriately report problems to the Accounts Receivable Manager.
• Handle other duties and special projects as assigned.

EDUCATION, EXPERIENCE & KNOWLEDGE REQUIREMENTS

Education

• High School Diploma or equivalent

Experience

• Minimum 3-5 years medical office experience working with insurance carriers.

Knowledge & Skills

• Proficiency in using computers and ability to learn various software.
• Superior organizational and problem-solving skills, and attention to detail
• Ability to work well in a team environment.
• Strong communication (verbal and written) skills.
• Ability to maintain a pleasant and professional demeanor.