Prior Authorization Specialist - Insurance

Jacksonville, FL 32224

Post Date: 06/25/2018 Job ID: 30032 Industry: Other Area(s)

Prior Authorization Specialist - Medical Insurance

This role is responsible for obtaining Prior Authorization for auxiliary services.

Collects, reviews, discusses, and documents demographic, insurance, and financial information with patients and payers. Responsible for management and collection of  Account Receivables through the use of automated systems and revenue cycle processes. Responds to and resolves a variety of account, billing and payment issues from patients and customers. Follows approved guidelines and policies regarding routine patient and payer interactions. Makes independent decisions that require individual and/or team analysis, reasoning, and problem solving. Interprets, applies and communicates policies regarding medical and financial aspects of patient care to assure optimal reimbursement. This individual must accurately document interactions and interpret interactions documented by others

Qualifications

Prior-Authorization experience

Medical Insurance knowledge

Medical Terminology

Must have excellent customer service skills and possess the ability to negotiate payment reimbursement from patients and third party payers, via incoming and outgoing phone calls or face to face interactions.

Hours: M-F 8a-5p
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