Prior Authorization Specialist

Midland-Health-2; Midland (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

Midland-Health-2 is seeking a detail-oriented Prior Authorization Coordinator to determine client benefits, verify eligibility, and obtain and track authorizations for services in a fast-paced environment.

Responsibilities include contacting insurers, resolving coverage questions, documenting approval dates and codes in the patient profile, and coordinating scheduling with care teams. Proficiency with EMR and Microsoft Office is required.

Qualifications

• Experience with EMR and medical terminology
• 1+ year experience working with medical insurance and/or prior authorizations
• Excellent verbal and written communication skills
• Ability to work independently
• Strong passion for serving our clients
• Strong decision making/problem solving skills

Responsibilities

• Verify client benefits with insurance companies by phone or web.
• Obtain authorizations for services and track approvals.
• Answer coverage questions from providers, families, Revenue Cycle team.
• Use Microsoft Office and EMR in daily tasks.
• Verify benefits to ensure payment for services.
• Document authorization details in patient profile.
• Review denials and submit appeals as permitted by payor.
• Schedule surgeries and coordinate pre-admission tasks.
• Perform other Revenue Cycle duties as assigned.

Skills

EMR proficiency

Medical terminology

Verbal and written communication

Independent work

Customer service orientation

Tools

Microsoft Office

Electronic Health Records

Job description

Midland-Health-2 is seeking a detail-oriented Prior Authorization Coordinator to determine client benefits, verify eligibility, and obtain and track authorizations for services in a fast-paced environment.

Responsibilities include contacting insurers, resolving coverage questions, documenting approval dates and codes in the patient profile, and coordinating scheduling with care teams. Proficiency with EMR and Microsoft Office is required.