Prior Authorization & Benefits Specialist

Proliance Surgeons; Seattle (WA); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Health insurance

401(k) with match and profit sharing

Generous paid time off

Holiday pay

Life and LTD

Learning Management System offering CE

Job summary

Proliance Surgeons - Orthopedic Specialists of Seattle seeks an Authorization and Benefits Specialist to efficiently handle accounts receivable and obtain prior authorizations for procedures. You will interact with patients, providers, and payers to ensure accurate billing and timely approvals in a fast-paced healthcare setting.

Based at our Seattle clinics with travel between Wallingford and Ballard offices as needed, this role offers competitive benefits including health coverage, 401(k) with

Qualifications

• Attention to detail
• Excellent organizational and time management skills
• Ability to work independently and in a team
• Healthcare billing and insurance knowledge

Responsibilities

• Process medical prior authorizations for procedures and review insurance coverage
• Triages calls from providers and patients regarding authorization status
• Post payments and document refunds and adjustments
• Maintain knowledge of health plan requirements and networks
• Coordinate with patients, clinic staff and insurers to ensure timely approvals

Education

High School diploma/GED or equivalent

Job description

Proliance Surgeons - Orthopedic Specialists of Seattle seeks an Authorization and Benefits Specialist to efficiently handle accounts receivable and obtain prior authorizations for procedures. You will interact with patients, providers, and payers to ensure accurate billing and timely approvals in a fast-paced healthcare setting.

Based at our Seattle clinics with travel between Wallingford and Ballard offices as needed, this role offers competitive benefits including health coverage, 401(k) with