Prior Authorization Specialist

Responsibilities:
- Process Prior Authorizations for medical procedures, treatments, and medications
- Verify insurance coverage and ensure all necessary information is accurate
- Communicate with healthcare providers, insurance companies, and patients to gather required information
- Utilize medical coding knowledge (ICD-9, ICD-10) to accurately code procedures and diagnoses
- Maintain patient confidentiality and adhere to HIPAA guidelines
- Review and evaluate medical records to determine the medical necessity of requested services
- Collaborate with healthcare professionals to obtain additional information as needed

Requirements:
- Previous experience working in a dental office or medical setting preferred
- Proficiency in medical coding (ICD-9, ICD-10) and knowledge of insurance verification processes
- Familiarity with medical terminology and managed care principles
- Strong attention to detail and accuracy in data entry and documentation
- Ability to work efficiently in an office environment while adhering to deadlines
- Excellent communication skills to interact effectively with healthcare providers, insurance companies, and patients

Job Types: Full-time, Part-time

Pay: $47,000.00 - $52,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Location:

• White Plains, NY (Required)

Work Location: Remote