Prior Authorization Specialist

Hiring Prior Authorization Specialist in Phoenix


Responsibilities

• Communicates with insurance providers to verify patient eligibility, confirm coverage and benefits, and secure required prior authorizations
• Manages and processes prior authorization requests submitted by clinics and Patient Care Coordinators
• Accurately records and maintains detailed documentation of all findings and actions taken
• Updates patient demographic information as needed to ensure accurate and complete billing statements
• Consistently meets or exceeds established productivity and quality expectations for daily work output
• Maintains accuracy levels in line with departmental error-rate standards
• Provides training and guidance to internal staff on proper procedures for submitting, documenting, and processing prior authorization requests

Required Skills

• 2+ years of recent prior authorization experience in a physician office or ASC setting
• High school diploma or GED required

Preferred Skills

• Ophthalmology Experience
• Medical Billing and Coding Diploma

Schedule/Shift

• M-F 8:00-4:30pm (they can skip lunch break if they want)
• NO OVERTIME!!!

Benefits:

• In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week over your first four weeks on assignment. If you become eligible and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).

• As a contract employee with Medix, you can choose to enroll in our Benefits Program during your eligibility period and enjoy:

401(k) Retirement Plan (After 6+ months of service, during a 401K enrollment period)
Medical, dental and vision plans with The American Worker, as well as three Major Medical Plan options!
Prescription Programs
Short Term Disability Insurance
Term Life Insurance Plan
Compensation: Dependent upon experience


Apply Today!


* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).


* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.