Authorization Specialist Job at Millennium Physicians Association, PLLC
JOB SUMMARY
To initiate and coordinate pre-certification and prior authorization for patients with their insurance carrier, to provide financial counseling to patients, and to work closely with the business office to ensure timely claim and account follow up.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Coordinate with patient, physician, insurance company and hospitals on the complete pre-certification process.
- Make and answer telephone calls from patients and insurance companies regarding the pre-certification process.
- Process additional information request and coordinate with the insurance companies on requests for letters of medical necessity.
- Receive and process insurance information and forms from patients and insurance companies
- Review provider, chemotherapy schedules and worklist queues to ensure pre-certifications are obtained prior to the patient’s appointment.
- Perform other duties as assigned
- Ability to read and understand medical documentation to obtain information necessary for pre-certifications
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION / EXPERIENCE
High school diploma or general education degree (GED); or six months to one-year related experience and/or training, including customer service; or equivalent combination of education and experience; medical terminology, medical insurance experience preferred.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
- No weekends
Supplemental pay types:
- Bonus pay
Application Question(s):
- How many years of Authorization do you have?
- Are you willing to commute to Kingwood?
Experience:
- Medical billing: 2 years (Required)
Work Location: One location
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