Pre-Authorization Specialist

we offer a wide variety of benefits to complement our salary packages:Medical and dental insurance, including prescription coverageGroup life insuranceShort- and long-term disabilityAccrued paid time off for full-time employeesProfit sharing and 401K plansProfessional liability coverage, when indicated
Summary

We are currently seeking experienced pre authorization specialist to join our Billing Team that works out of our administrative office in Raleigh.

Major Position Functions:

• Determining authorization requirements for scheduled procedures.
• Verifying and troubleshooting eligibility results from automated and manual eligibility platforms.
• Verifying authorization and/or medical necessity requirements are met prior to services being rendered.
• Communicate with patients, referring providers or others as necessary to facilitate the authorization process though phone or fax.
• Follow policy and procedure when required authorization is not in place prior to services being rendered.
• Answer provider, co-worker and patient questions regarding insurance authorization requirements.
• Appropriately prioritize workload, ensuring cases are handled in a timely manner and documented accurately.
• Proactively manages and maintains outstanding authorizations through completion.

Position Requirements

• Ability to prioritize workload in a timely manner while maintaining a high level of accuracy and productivity.
• Excellent customer service skills.
• Knowledge of online insurance websites for eligibility verification and authorization verification.
• Prior experience with insurance verification, insurance authorization and strong customer service background is preferred.