Prior Authorization Specialist - Medical Billing (Hybrid)

Job Description Our Medical Device client is seeking an Authorization Specialist for Medical Device claims. This role will be start as a contract and go permanent after 4 months. Hybrid Role with flexible hours - Monday and Fridays are remote Senior Prior Authorization Specialist This position includes verification of insurance benefits as it applies to the pre-certification process, obtaining pre-certification and pre-authorization from payers Collects and reviews all patient insurance information and submits prior-authorization form Authorization Specialist are responsible for all aspects of benefit verification and authorization Authorization Specialist ensure that NTINH meets patient’s insurance requirements for reimbursement prior to testing or treatment Obtains necessary pre-authorizations from payer Ensures up-to-date documentation on patient’s account in Electronic Medical Record related to authorization approvals and denials Maintains updated referrals and authorizations Communicates with ordering physician and/ or APP in the case of denials that will require rescheduling and/or peer-to-peer review by the ordering physician Contacts patient to notify of termed insurances Keeps current on insurance carrier requirements for testing and treatments provided at Texas Neurology Follows policy and procedures outlined by management to ensure standardization of processes across the clinics Unpacks and puts away medication - scans information into patient charts #J-18808-Ljbffr Chariot Leadership Services