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Prior Authorization Specialist

Company: N/A

Location: East Brunswick, NJ

Pay: N/A

Contact Information


Name: Medix
Phone: n/a
Fax: n/a
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Job Description


Prior Authorization Specialist


Job Description/Responsibilities:

Must be able to handle 70+ insurance verifications/authorizations per day. Must have high volume office experience and EOB experience.

A typical day --> Reviewing 700 orders (appointments) and understanding which ones need authorizations or eligibility checked. Reviewing the CPT codes, adjusting modifiers, explaining EOBs to patients, communication with physicians regarding eligibility, setting up payment plans with patients, and call insurances for anything not getting verified.


Prior Authorization Specialist



Requirements:

Must be able to handle a fast-paced, high volume environment
Must be able to keep up with 70+ accounts per day (insurance verification and authorizations)
Must have strong communication skills. Communicating with physicians, patients and insurance companies.
Must have 1+ year of high volume authorization experience (40+)
Must have strong knowledge of medical terminology
Must be able to articulate EOBs
Must be able to work independently
Strong computer skills


Prior Authorization Specialist


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Job Requirements