Billing Prior Authorization Specialist

Ideal Option PLLC; United States; À distance; USD 42 000 - 64 000; Plein temps

Avantages offerts par ce poste

Medical coverage

Vision coverage

Dental coverage

Disability options

PTO and holidays

Résumé du poste

Ideal Option PLLC is seeking a Billing Prior Authorization Specialist to join our billing team. The role focuses on obtaining referrals and authorizations for services, entering patient data, and communicating cost estimates to patients.

Candidates should have a high school diploma or GED, at least one year of prior authorization experience, proficiency with Microsoft Office, and a typing speed of 60 wpm. Some travel may be required.

Qualifications

• High School Diploma or GED.
• Minimum of one year experience with Prior Authorizations.
• Excellent proficiency with Microsoft Office suite and Internet.
• Typing speed of 60 words per minute or more.
• Knowledge of chemical dependency and its effects on individuals, families, and communities.

Responsabilités

• Enters new patients’ and existing patients’ data into the computer.
• Obtains referrals for services.
• Obtains appropriate authorizations for services.
• Gathers medical records to submit to insurance for proper authorization.
• Provides patients with estimated cost for services.
• Finalizes the appropriate data for accounts.
• Maintains tracking of authorization limits.
• Obtains referrals for medical services.
• Infrequent travel by vehicle or airplane.
• Other projects and duties as assigned.

Connaissances

Interpersonal skills

Communication

Multitasking

Learn quickly

Problem solving

Independent work

Fast-paced adaptation

Formation

High School Diploma or GED

Outils

Microsoft Office

Internet

Description du poste

Schedule: Monday-Friday, 40 hours per week

*Candidates must reside in one of the following states: Alaska, Arkansas, Arizona, Idaho, Maryland, Minnesota, Montana, North Dakota, New Mexico, Nevada, Oregon, or Washington.

Ideal Option has been working on the front lines of the opioid epidemic since our first clinic opened in 2012. With more than 90 clinics across 11 states, we continuously strive to be the nation’s leading provider of low-barrier evidence-based treatment for opioid use disorder. We are looking for a Billing Prior Authorization Specialist to join our growing team and help us in our vision to give back lives, reunite families, and heal communities that are suffering from the devastating effects of substance use disorder.

At Ideal Option, we offer our employees a competitive and comprehensive benefits program to recognize how important you are to the company. Current benefits include:

• Medical, vision, and dental
• Short-term and long-term disability options
• Paid time off and paid holidays

The Role:

As a Billing Prior Authorization Specialist, you play a key role in obtaining referral and authorization for services within the billing department. Additional responsibilities include:

• Enters new patients’ and existing patient's data into the computer
• Obtains referrals for services
• Obtains appropriate authorizations for services
• Gathers medical records to submit to insurance for proper authorization
• Provides patients with estimated cost for services
• Finalizes the appropriate data for accounts
• Maintains tracking of authorization limits
• Obtains referrals for medical services
• Infrequent travel by vehicle or airplane
• Other projects and duties as assigned

Our ideal candidate is:

Professional with strong interpersonal skills and effective communication skills, verbal and written. Has the ability to multitask, learn quickly, work in a fast-paced environment, work independently and problem solve.

Requirements

Minimum Requirements to be considered:

• High School Diploma or GED
• Minimum of one-year experience with Prior Authorizations
• Excellent proficiency with Microsoft product suite and Internet
• Typing speed of 60 words per minute or more
• A knowledge of chemical dependency and its effects on individuals, families, and communities is required