Prior Authorization Representative

Verify insurance eligibility, benefits, network status and create pre-service liability estimate. 

Ensure accurate ICD, CPT codes and related medical records are submitted in the authorization request. 

Secure prior authorizations of inpatient and outpatient imaging. 

Acts as a liaison between the payer and clinic schedulers/medical support. 

Follows up on delayed or denied authorizations requests and escalates for resolution. 

Create detail documentation and maintain/stores the authorization paper trail. 

High School Diploma, 3+years of experience in a health care financial setting or medical office setting. Must have previous prior authorization experience. 

Excellent customer service skills, strong attention to details, multi-task as needed. 

Must be familiar with an EMR or HER; Microsoft Office 365 

Must be able to take responsibility and work under pressure.  Work efficiently in a busy medical office. 

Must be a positive team player. 

Knowledge of ICD-10, CPT, and HCPCS codes specific to radiology is a plus. 

Proficient in medical terminology, especially radiological terms and procedures. 

Days/Hours: M/F 8a to 5pm (Availability to start as early as 7a and work as last as 6:00pm is a plus) 

Starting pay $20.00 to $21.00 hourly (Based on experience)