Billing, Claims Management, Claims Processing, Communication Skills, Current Procedural Terminology (CPT), Detail Oriented, Documentation, Health Insurance, Healthcare Common Procedure Coding System (HCPCS), ICD-10, Insurance, Medical Billing, Multitasking, Problem Solving Skills, Reimbursement, Time Management
Location: Dothan, AL
Pay: Starting at $14/hour and up (based on experience)
Job Summary:
We are seeking a detail-oriented Prior Authorization Specialist to manage insurance authorizations, claims processing, and billing support. This role requires experience with diagnosis coding, claim follow-up, and working with insurance providers to ensure timely and accurate reimbursement.
Key Responsibilities:
- Obtain prior authorizations and verify insurance coverage and benefits
- Enter charges accurately and apply appropriate diagnosis/procedure codes (ICD-10, CPT, HCPCS)
- Submit claims and follow up on denials, rejections, and unpaid claims
- Correct, resubmit claims, and maintain detailed documentation of all account activity
Qualifications:
- Experience in medical billing, insurance, or prior authorizations preferred
- Knowledge of diagnosis and procedure coding (ICD-10, CPT, HCPCS)
- Strong attention to detail, organization, and problem-solving skills
- Ability to communicate effectively and manage multiple tasks in a fast-paced environment
Personnel Resources is an equal opportunity employer.
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