Prior Authorization Specialist

About us

We are professional, compassionate private cardiology practice and our goal is to take care of patients the way we want our family cared for.

Our work environment includes:

• Teamwork, friendly atmosphere
• Flexible working hours

We are seeking a detail-oriented and experienced Prior Authorization Specialist to join our cardiology team to work 30 to 36 hours a week. As a Prior Authorization Specialist, you will play a crucial role in ensuring that medical procedures and treatments are approved by insurance companies. Your strong knowledge of medical records, coding, and insurance verification will be essential in navigating the Prior Authorization process. If you are looking for a challenging and rewarding position in the healthcare industry, we encourage you to apply.

### Duties:

- Review and analyze medical records to determine the need for Prior Authorization

- Verify insurance coverage and benefits for patients

- Communicate with healthcare providers to gather necessary information for Prior Authorization requests

- Complete and submit Prior Authorization forms to insurance companies

- Follow up with insurance companies to track the status of Prior Authorization requests

- Collaborate with healthcare providers and insurance companies to resolve any issues or discrepancies

- Maintain accurate documentation of all Prior Authorization activities

- Schedule procedures at the hospital

- Clear fax records

- Answer patient calls and take messages

### Qualifications:

- High school diploma or equivalent required; associate's degree in healthcare administration or related field preferred

- Minimum of 2 years of experience as a Prior Authorization Specialist or similar role in a medical office setting

- Strong knowledge of medical terminology, coding, and HIPAA regulations

- Familiarity with managed care plans and insurance verification processes

- Proficient in using electronic health record (EHR) systems and other relevant software applications

- Excellent attention to detail and organizational skills

- Strong communication and interpersonal skills

We offer competitive compensation and benefits packages, including medical, dental insurance. Join our team and make a difference in the lives of our patients by ensuring they receive the necessary medical treatments through efficient Prior Authorization processes.

Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, duties, qualifications, or requirements associated with the job.

Job Types: Full-time, Part-time

Pay: $16.00 - $17.00 per hour

Benefits:

• Paid time off

Weekly day range:

• Monday to Friday
• No weekends

Ability to Relocate:

• San Antonio, TX 78251: Relocate before starting work (Required)

Work Location: Hybrid remote in San Antonio, TX 78251