Prior Authorization Specialist

Relicore; North Augusta (SC); On-site; USD 25,000 - 39,000; Full time

Job summary

AO Multispecialty Clinic is seeking a dedicated Prior Authorization Specialist to join our Billing Department. You will streamline authorizations, review patient information, and collaborate with our providers to secure approvals for procedures and referrals.

You will maintain accurate records, support scheduling, and ensure timely processing in a fast-paced multispecialty environment. The role emphasizes attention to detail and teamwork to deliver seamless patient care.

Qualifications

• 1-2 years of Prior Authorization experience.
• Solid understanding of medical terminology to facilitate effective communication and documentation.
• Attention to detail to ensure accuracy in all tasks.
• Collaborative spirit and ability to work well with others in a fast-paced environment.

Responsibilities

• Streamline patient care: work with specialists to ensure timely authorizations and referrals for appointments and procedures.
• Review and analyze patients' medical histories and insurance coverage to secure necessary approvals.
• Collaborate with referring providers to gather information required for authorization.
• Maintain accurate records by inputting and updating patient information in systems.
• Proactively monitor scheduling and address potential issues before they impact care.
• Complete documentation to support billing and clinic finances.
• Support the team with clerical tasks as needed.

Skills

Prior Authorization

Attention to detail

Team player

Medical terminology

Job description

Prior Authorization Specialist

Are you ready to make a meaningful impact in the healthcare field? At AO Multispecialty Clinic, a leading multispecialty clinic specializing in Medical Oncology, Radiation Oncology, Hematology, Urology, Rheumatology, and Plastic Surgery, we are seeking a dedicated and detail-oriented Prior Authorization Specialist to join our dynamic Billing Department. This is an exciting opportunity to be part of a collaborative team that plays a critical role in delivering exceptional patient care.

What You'll Do

• Streamline Patient Care: Work closely with our specialists to ensure timely and accurate authorizations and referrals for appointments and procedures, facilitating seamless access to care for our patients.
• Review and Analyze: Assess patients' medical histories and insurance coverage to secure necessary approvals, ensuring that our patients receive the treatments they need without delay.
• Collaborate with Providers: Engage with referring physicians to gather any additional information required for authorization, building strong relationships within our healthcare network.
• Maintain Accurate Records: Input and update patient information in our systems with precision, ensuring that our records are current and reliable.
• Proactive Monitoring: Oversee scheduling for potential issues, addressing concerns before they impact patient care.
• Complete Documentation: Ensure all billing documentation is thorough and accurate, supporting the financial health of our clinic.
• Support Your Team: Assist with various clerical tasks as needed, contributing to a positive and efficient work environment.

Why Join Us?

• Impactful Work: Play a vital role in ensuring that our patients receive timely access to specialized care in Oncology, Hematology, Urology, Rheumatology, and Plastic Surgery.
• Collaborative Environment: Work alongside a team of passionate professionals dedicated to providing the best possible care and support to our patients.
• Career Growth: We are committed to your professional development and offer opportunities for training and advancement within our clinic.
• Comprehensive Benefits: Enjoy a competitive benefits package that includes health insurance, retirement plans, and generous paid time off, all designed to support your wellbeing.

AO Multispecialty Clinic is an equal opportunity employer and values diversity in our workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, disability, or veteran status.

Requirements

• Experience: A minimum of 1-2 years of Prior Authorization experience is required.
• Medical Knowledge: A solid understanding of medical terminology to facilitate effective communication and documentation.
• Attention to Detail: A meticulous approach to your work to ensure accuracy in all tasks.
• Team Player: A collaborative spirit and the ability to work well with others in a fast-paced environment.