Job Title: Prior Authorization Specialist
Job Summary:
We are seeking a detail-oriented and experienced Auto and W/Comp Prior Authorization Specialist to join our team. The ideal candidate will be responsible for handling all aspects of the prior authorization process, and ensuring timely approvals for medical procedures and services. As a Prior Authorization Specialist, you will work closely with healthcare providers, insurance companies, and patients to facilitate the approval process efficiently.
Duties:
- Review and process prior authorization requests for medical procedures and services.
- Verify insurance coverage and benefits for patients.
- Communicate with healthcare providers, insurance companies, and patients regarding authorization status.
- Ensure compliance with HIPAA regulations and medical coding standards.
- Maintain accurate and up-to-date records of all authorization requests and approvals.
- Collaborate with medical billing teams to resolve any authorization-related issues.
- Stay updated on changes in insurance policies and procedures related to prior authorizations.
- Complete medical records requests .
Qualifications:
- Previous experience working in a medical office or healthcare setting.
- Strong knowledge of NJ MVA and workman's Comp insurance verification processes.
- Excellent communication and interpersonal skills.
- Ability to work efficiently in a fast-paced environment.
- Attention to detail and accuracy in data entry.
Join our team as a Prior Authorization Specialist and play a vital role in ensuring patients receive the necessary medical care they deserve. If you are passionate about healthcare administration and have the required qualifications, we encourage you to apply.
Job Type: Full-time
Pay: $20.00 - $23.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Paid time off
Weekly day range:
- Monday to Friday
- No weekends
Experience:
- Insurance verification: 3 years (Preferred)
- Authorizations: 3 years (Preferred)
Ability to Commute:
- Hoboken, NJ 07030 (Required)
Ability to Relocate:
- Hoboken, NJ 07030: Relocate before starting work (Required)
Work Location: In person