Prior Authorization & Care Coordination Specialist

Kintegra Health; Gastonia (NC); On-site; USD 25,000 - 36,000; Full time

Job summary

Kintegra Health in Gastonia, NC is seeking a Prior Authorization Specialist under the supervision of the Customer Care Manager. You will obtain pre-authorizations for medications and diagnostics, schedule outpatient testing, and coordinate patient orders to support timely care.

Qualifications include a High School Diploma (required), strong verbal and written communication, excellent customer relations skills, data interpretation ability, good judgment and teamwork.

Qualifications

• Excellent verbal and written communication skills.
• Effective customer relation skills and ability to organize and interpret data.
• Good judgment, tact, diplomacy, and problem solving.
• Ability to work effectively in a team environment.
• Able to use a personal computer and related software.

Responsibilities

• Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.
• Request, track and obtain prior authorization from insurance carriers within time allotted for medical services.
• Request, follow up and secure prior authorizations prior to services being performed.
• Demonstrate knowledge of medical terminology and HIPAA regulations in general medical office procedures.
• Communicate insurance changes or trends among team.
• Maintain productivity level suitable for the department.
• Document all communications and contacts with providers and personnel in standardized format.

Education

High School Diploma

Job description

Kintegra Health in Gastonia, NC is seeking a Prior Authorization Specialist under the supervision of the Customer Care Manager. You will obtain pre-authorizations for medications and diagnostics, schedule outpatient testing, and coordinate patient orders to support timely care.

Qualifications include a High School Diploma (required), strong verbal and written communication, excellent customer relations skills, data interpretation ability, good judgment and teamwork.