Prior Authorization Coordinator

Carolina Health Specialists • Myrtle Beach, SC

3d • Onsite

About The Position

PRIOR AUTHORIZATION COORDINATOR, TEMPORARY INDEPENDENT CONTRACTOR needed for busy medical practice in Myrtle Beach. This is a temporary position. Must have excellent computer and customer service skills. Experience with prior authorizations for infusions or prescriptions is preferred. Hours are M-Th 7:45am-5:15pm & Fri. 8:00 am-12:00pm.

GENERAL SUMMARY OF DUTIES: Responsible for verification of insurance benefits and obtaining pre-certifications and authorizations on all New Patients, Infusions, MRI Procedures and any other office procedures that may require pre-certification.

Requirements

• Excellent computer skills
• Excellent customer service skills
• High school graduation or GED
• Minimum of three years experience with handling insurance verification and obtaining information on patients’ insurance benefits.
• Knowledge of clinic policies and procedures.
• Knowledge of medical terminology and insurance practices.
• Knowledge of computer programs and applications.
• Knowledge of grammar, spelling and punctuation to type correspondence.
• Skill in gathering, interpreting and reporting insurance information.
• Skill in trouble-shooting insurance problems and claims.
• Skill in written and verbal communication.
• Ability to identify claim problems and recommend solutions.
• Ability to sort and file insurance forms and associated information.
• Ability to work with effectively with patients, employees and the public.

Nice To Haves

• Experience with prior authorizations for infusions or prescriptions
• Associate degree in business administration or secretarial program

Responsibilities

• Processes insurance verification in a timely manner.
• Prepares insurance forms and associated correspondence as needed.
• Assists patients in preparing insurance forms. Make patients aware of their financial responsibility after insurance benefits have been determined.
• Follow up on claims to insure that insurance companies have paid according to agreement and as verified.
• Maintains files with insurance authorization and referral slips.
• Maintains strict confidentiality required related to medical records and other data.
• Schedule all infusion referrals.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED