Pre-Authorization Specialist - Medical Office (Sign-On Bonus)

Cardiology Consultants of Philadelphia; Norristown (Montgomery County); On-site; USD 38,000 - 54,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Cardiology Consultants of Philadelphia (CCP) is seeking a full-time Pre-Authorization/Eligibility Specialist at our South Philadelphia, PA location to verify insurance coverage, update patient information, and coordinate referrals and authorizations. The role supports healthcare delivery by ensuring accurate eligibility verification and compliant processing.

The ideal candidate will have medical office experience, familiarity with insurance plans, strong communication skills, and proficiency

Qualifications

• Must have experience in a medical office setting.
• Must have knowledge of medical insurance plans.
• Must have the ability to multitask.
• Computer knowledge is a must.
• Experience with an EMR system is a plus.
• Must be well-spoken, friendly, and outgoing.

Responsibilities

• Verify patient insurance coverage and benefits prior to appointments, procedures, and treatments.
• Review and update patient demographic and insurance information in electronic medical records (EMR) systems.
• Determine patient eligibility for healthcare services based on insurance plan requirements.
• Obtain and document referrals, prior authorizations, and pre-certifications as needed.
• Contact insurance companies to verify coverage, benefits, deductibles, co-pays, and out-of-pocket responsibilities.
• Communicate eligibility and authorization information to patients and clinical staff.
• Resolve insurance discrepancies, denials, and coverage issues in a timely manner.
• Maintain accurate records of all eligibility verification activities.
• Ensure compliance with HIPAA and other applicable healthcare regulations.
• Collaborate with billing, scheduling, and clinical teams to support efficient patient care and revenue cycle operations.
• Assist patients with understanding insurance benefits and financial responsibilities.
• Other duties as assigned

Skills

Multitasking

Computer literacy

Tools

EMR system experience

Job description

Cardiology Consultants of Philadelphia (CCP) is seeking a full-time Pre-Authorization/Eligibility Specialist at our South Philadelphia, PA location to verify insurance coverage, update patient information, and coordinate referrals and authorizations. The role supports healthcare delivery by ensuring accurate eligibility verification and compliant processing.

The ideal candidate will have medical office experience, familiarity with insurance plans, strong communication skills, and proficiency