Prior Authorization Specialist

Duties and responsibilities:

We are looking for an experienced Prior Authorization Specialist to work in our Billing Liaison department. This department works hand in hand with our off-site billing service. We are looking for a candidate who is self-motivated, multi-tasker with critical thinking and problem-solving skills.

Schedule: Monday-Friday 8:00am-5:00pm PST

Must possess the following experience:

• 2+ years of healthcare medical insurance/billing experience
• Understanding of health plans, PPO, HMO, POS, Medicare and MediCal
• Ability to read and understand an EOB
• Knowledge of basic medical coding
• Understanding of health plans eligibilities and authorizations
• Proficient in 10 key, Microsoft Office Word, Miscrosoft Teams, Excel and Google Docs
• Knowledge of business office systems, procedures and HIPAA
• Exceptional Customer Service
• Ability to communicate clear and concise information and stay calm under pressure
• Bilingual

Responsibilities include:

• Health plans follow up regarding eligibilities and authorizations
• Take patient inquiry calls
• Review patient account balances. Ability to identify, research and resolve patient inquiries
• Run credit card payments
• Mail Handling
• Gathering of physician hospital charges in a timely manner to batch and send for billing
• Other miscellaneous duties within the billing department

Job Type: Full-time

Pay: $22.00 - $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Experience:

• Medical billing: 2 years (Required)

Language:

• Spanish (Required)

Work Location: In person