Remote Prior Authorization Specialist (Medical Billing)

CenterWell; United States; A distancia; USD 42.000 - 64.000; Jornada completa

Descripción de la vacante

Goodman Campbell Brain and Spine (GCBS) is seeking a dedicated Prior Authorization Specialist to manage pre-certification for procedures, verify benefits, and maintain patient registration accuracy. The role supports billing and care delivery and offers a remote work option after training.

Strong attention to detail, ability to multi-task, and excellent communication with patients and clinicians are essential. Experience with NextGen is preferred; HS diploma required.

Formación

• Knowledge of medical insurance plans and pre-authorizations.
• Ability to work independently and manage multiple tasks.
• Strong attention to detail and accuracy in data entry.
• Effective communication with patients, physicians and staff.
• HIPAA compliance and patient confidentiality.

Responsabilidades

• Obtain required referrals and pre-authorizations for all scheduled appointments, procedures, tests, surgeries, injections and physical therapy.
• Obtain benefit verification for all Goodman Campbell procedures.
• Work with Medical Administrative Assistants to schedule tests and complete all required pre-authorizations.
• Completing unfinished patient registrations.
• Scan insurance card if not done at front desk.
• Obtain any missing information in the chart or registration.
• Complete documentation within NextGen regarding authorizations; verify benefits, insurance and demographics.
• Update incorrect insurance or demographic information in office software as corrections are found.
• Assist other areas when needed; perform other duties as assigned.

Conocimientos

Insurance knowledge

Independent work

Multi-tasking

Attention to detail

Clear communication

HIPAA compliance

Educación

High school diploma or equivalent

Herramientas

NextGen

Descripción del empleo

Goodman Campbell Brain and Spine (GCBS) is seeking a dedicated Prior Authorization Specialist to manage pre-certification for procedures, verify benefits, and maintain patient registration accuracy. The role supports billing and care delivery and offers a remote work option after training.

Strong attention to detail, ability to multi-task, and excellent communication with patients and clinicians are essential. Experience with NextGen is preferred; HS diploma required.