Prior Authorization Coordinator
Carolina Health Specialists · Myrtle Beach, SC · 1 wk ago
On-siteOTHRContract
Temporary independent-contractor position in a busy Myrtle Beach medical practice.
Schedule
- Monday–Thursday: 7:45 am–5:15 pm
- Friday: 8:00 am–12:00 pm
Responsibilities
- Verify insurance benefits and obtain pre-certifications and authorizations for new patients, infusions, MRI procedures, and any other office procedures requiring pre-certification.
- Process insurance verifications in a timely manner.
- Prepare insurance forms and associated correspondence as needed.
- Assist patients in completing insurance forms.
- Inform patients of their financial responsibility after insurance benefits have been determined.
- Follow up on claims to ensure insurance companies have paid according to agreement and verification.
- Maintain files with insurance authorization and referral slips.
- Maintain strict confidentiality related to medical records and other data.
- Schedule all infusion referrals.
Requirements
- High school graduation or GED.
- Associate degree in business administration or secretarial program preferred.
- Minimum of three years’ experience handling insurance verification and obtaining patients’ insurance benefits.
- Knowledge of clinic policies and procedures, medical terminology, and insurance practices.
- Proficiency with computer programs and applications.
- Strong grammar, spelling, and punctuation skills for typing correspondence.
Skills
- Gathering, interpreting, and reporting insurance information.
- Troubleshooting insurance problems and claims.
- Written and verbal communication.
- Identifying claim problems and recommending solutions.
- Sorting and filing insurance forms and associated information.
- Working effectively with patients, employees, and the public.
Physical & Mental Demands
- Hand dexterity for office machine operation.
- Stooping and bending to access files and supplies.
- Mobility to complete errands.
- Ability to sit for extended periods.
- May view computer screens for long periods.
Work Environment
- Normal office environment.
- Occasional evening or weekend work.