Insurance Specialist

AlignHR, LLC•Wheeling, WV

11h•Onsite

About The Position

A successful ENT practice in the Wheeling WV area seeks a full-time Medical Assistant/Prior Authorization/Insurance Specialist to complete their team. Candidates for this position must have a high school diploma or GED and previous customer service or inbound call center experience. On the job training can be provided if needed and applicable. The work schedule will be Monday through Friday, day shift hours. Successful candidates must also possess an excellent work ethic, dedication, reliability, punctuality, a passion for patient care, and professionalism.

Requirements

Must have experience using EPIC patient technology system
High school diploma or GED required
Customer service or inbound call center experience required
Strong verbal and written communication skills
Sound technical skills, analytical ability, attention to detail, good judgment, and strong operational focus
A passion for providing top-notch patient care
Ability to work with peers in a team effort and cross-functionally
1+ year(s) working with prior authorizations or insurance verification

Responsibilities

Room patients and assist in office procedures
Assist in the initiation of new prior authorization requests to providers
Identify the correct prior authorization form required for the patient's insurance provider
Coordinate with prescribers and medical offices to ensure applicable information is translated onto prior authorization forms
Follow up with medical offices to check the status of prior authorization requests
Assist with communicating the status of prior authorizations to both patients and providers
Coordinate with medical offices to handle appeals
Respond to internal questions from other departments related to prior authorization requests