Prior Authorization Specialist

Forefront Dermatology; Carmel (IN); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare provider is looking for a Surgical Prior Authorization Specialist to manage necessary authorizations at their clinics in Indiana. This role involves communicating with insurance companies, keeping records, and ensuring compliance with medical billing requirements. Ideal candidates will be detail-oriented with strong organizational and communication skills, holding at least a high school diploma and preferably some experience in a healthcare environment.

Qualifications

• Previous experience working in a healthcare setting in a patient-facing role preferred.
• Must have an understanding of prior authorizations and insurance billing requirements.

Responsibilities

• Manage submission, tracking, and processing of surgical prior authorizations.
• Communicate with insurance companies and medical office staff for information.
• Maintain records and monitor prior authorization requests for timely processing.

Skills

Communication

Detail oriented

Leadership

Organizational skills

Proficiency with Microsoft Office

Education

High school diploma or GED

Job description

Overview

Forefront Dermatology is seeking a Surgical Prior Authorization Specialist for our Carmel, IN area clinics!

Schedule:

Monday: 7:30 AM - 4:30 PM Kokomo, IN

Tuesday: 7:30 AM - 4:30 PM Carmel, IN

Wednesday: 7:30 AM - 4:30 PM Westfield, IN

The Prior Authorization Specialist is responsible for managing the submission, tracking, and processing of surgical prior authorizations for patients and providers. This position will have a strong understanding of insurance policies, medical terminology, and the ability to work independently while managing multiple tasks.

Responsibilities

Own day-to-day management of prior authorizations, including ensuring all relevant information is captured, communicating with insurance companies, and managing the follow-up process.

Communicate with providers and medical office staff to request information, share authorization decisions and determine the best next steps for each patient.

Maintain records of prior authorization requests and outcomes.

Monitor and track prior authorization requests to ensure timely processing.

Adherence to compliance and completion of compliance training.

Performs other related duties as assigned.

Qualifications

Education

High school diploma or GED certificate is required.

Previous experience working in a healthcare setting in a patient-facing role preferred.

Knowledge, Skills and Abilities

Must possess understanding of prior authorizations and insurance billing requirements.

Must be detail oriented.

Must have excellent communication skills and the ability to communicate effectively orally and in writing.

Demonstrated leadership experience. Must be able to demonstrate leadership by serving as an example to others with regard to professional behavior, handling multiple tasks, maintaining a positive attitude, and in response to organizational change.

Proficiency with Microsoft Word, Excel and PowerPoint is required. Must be able to learn new software quickly.

Must possess excellent leadership, organizational, and computer skills.

Ability to work effectively and cooperatively with staff, board, clients, and the public.

Ability to multi-task, prioritize appropriately, and work well both individually and as part of a team.

Ability to use time productively and contribute to high levels of company operational efficiency and effectiveness.

Ability to maintain confidentiality of information.

Forefront will never request personal information, such as your social security number or banking information, via text or email. In addition, Forefront does not use external messaging applications such as WireApp or Skype to communicate with candidates. If you receive communication or requests of this nature, delete them.

#INDJOS

Education

High school diploma or GED certificate is required.

Previous experience working in a healthcare setting in a patient-facing role preferred.

Knowledge, Skills and Abilities

Must possess understanding of prior authorizations and insurance billing requirements.

Must be detail oriented.

Must have excellent communication skills and the ability to communicate effectively orally and in writing.

Demonstrated leadership experience. Must be able to demonstrate leadership by serving as an example to others with regard to professional behavior, handling multiple tasks, maintaining a positive attitude, and in response to organizational change.

Proficiency with Microsoft Word, Excel and PowerPoint is required. Must be able to learn new software quickly.

Must possess excellent leadership, organizational, and computer skills.

Ability to work effectively and cooperatively with staff, board, clients, and the public.

Ability to multi-task, prioritize appropriately, and work well both individually and as part of a team.

Ability to use time productively and contribute to high levels of company operational efficiency and effectiveness.

Ability to maintain confidentiality of information.

Forefront will never request personal information, such as your social security number or banking information, via text or email. In addition, Forefront does not use external messaging applications such as WireApp or Skype to communicate with candidates. If you receive communication or requests of this nature, delete them.

#INDJOS

Own day-to-day management of prior authorizations, including ensuring all relevant information is captured, communicating with insurance companies, and managing the follow-up process.

Communicate with providers and medical office staff to request information, share authorization decisions and determine the best next steps for each patient.

Maintain records of prior authorization requests and outcomes.

Monitor and track prior authorization requests to ensure timely processing.

Adherence to compliance and completion of compliance training.

Performs other related duties as assigned.