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Prior Authorization Specialist

Company:
Dermatologist of Central States
Location:
Dayton, OH 45429
Post Date:
September 14, 2021
Job Status:
Full-Time
Description:

Job Summary:


The Prior Authorization Specialist will serve as the main point of contact for all patients and the community. This position will receive and process patient referral, patient registration, verifying demographics, obtaining insurance cards and identification, and updating medical records accurately and efficiently. In addition, the Prior Authorization Specialist responsibilities will include obtaining current insurance information, verifying insurance information, obtaining authorization for procedures, entering information information into the electronic medical record.



Essential Functions:



  • Obtains, verifies, and enters authorizations for patient procedures.

  • Process paperwork and basic insurance verification, ensuring accurate patient identity for billing systems

  • Ability to answer internal and external calls in a friendly and helpful manner.

  • Must possess the ability to troubleshoot and resolve problems promptly.


Skills & Abilities:



  • Possesses problem-solving skills, basic computer skills, 40 WPM typing skills with excellent communication and interpersonal skills

  • Engage with staff and patients in a professional manner.
    Minimum/Required Qualifications

    High School Diploma or GED


    1-2 years of clinic or hospital experience.


    Prior authorization experience.


    Clinical or insurance knowledge.


    Medical Terminology




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