Part-Time Precertification & Authorization Specialist

Bryn Mawr Medical Specialists Association; Bryn Mawr (PA); On-site; USD 25,000 - 28,000; Part time

Benefits offered by this job

401(k)

Disability insurance

Flexible spending account

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Bryn Mawr Medical Specialists Association is seeking a part-time Precertification Specialist in the Pulmonary department to join our expanding team. The ideal candidate will have experience in precertifications, billing, and prior authorization and a willingness to learn.

Core duties include reviewing chart documentation for medical policy, prioritizing authorization requests by urgency, obtaining authorizations via payer websites or phone, and maintaining payer files with up-to-date

Qualifications

• Experience in precertifications, billing, and prior authorization.
• Experience reviewing chart documentation for medical policy eligibility.
• Willingness to learn and grow in a part-time role.

Responsibilities

• Review chart documentation to ensure patient meets medical policy guidelines.
• Prioritize incoming authorization requests according to urgency.
• Obtain authorization via payer website or by phone and follow up on pending cases.
• Maintain payer files with up-to-date requirements for authorizations.
• Confirm accuracy of CPT and ICD-10 codes.
• Coordinate and confirm insurance coverage and payments for prescriptions and procedures.

Skills

Insurance verification

Multiple insurances

Education

High School Diploma or equivalent

Job description

Bryn Mawr Medical Specialists Association is seeking a part-time Precertification Specialist in the Pulmonary department to join our expanding team. The ideal candidate will have experience in precertifications, billing, and prior authorization and a willingness to learn.

Core duties include reviewing chart documentation for medical policy, prioritizing authorization requests by urgency, obtaining authorizations via payer websites or phone, and maintaining payer files with up-to-date