Prior Authorization Specialist - Medical Billing

CNC Management Solutions LLC; West Lake Hills (TX); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) with company match

Paid time off

Job summary

CNC Management Solutions LLC in West Lake Hills, TX is hiring a Prior Authorizations Specialist to manage the authorization process for medical services. You will coordinate with healthcare providers, insurers, and patients to obtain approvals and ensure compliance with policies.

The ideal candidate has at least 2 years of prior authorizations or medical billing experience, strong HIPAA knowledge, and proficient use of healthcare management software and MS Office.

Qualifications

• High school diploma or equivalent.
• Minimum of 2 years experience in prior authorizations, medical billing, or related field.
• Proficiency in using healthcare management software and Microsoft Office Suite.
• Strong understanding of insurance policies and procedures.
• Excellent attention to detail and organizational skills.
• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Familiarity with HIPAA regulations and medical privacy laws.

Responsibilities

• Review and process prior authorization requests for medical services.
• Communicate with healthcare providers to gather necessary documentation and information.
• Submit prior authorization requests to insurance companies and follow up on the status.
• Maintain accurate records of all prior authorization activities.
• Provide excellent customer service to patients and healthcare providers.
• Stay updated on insurance policies and guidelines to ensure compliance.

Skills

Attention to detail

Communication

MS Office

HIPAA

Healthcare software

Insurance knowledge

Teamwork

Independent work

Education

High school diploma

Tools

Healthcare management software

Microsoft Office Suite

Job description

CNC Management Solutions LLC in West Lake Hills, TX is hiring a Prior Authorizations Specialist to manage the authorization process for medical services. You will coordinate with healthcare providers, insurers, and patients to obtain approvals and ensure compliance with policies.

The ideal candidate has at least 2 years of prior authorizations or medical billing experience, strong HIPAA knowledge, and proficient use of healthcare management software and MS Office.