Job Description
Job description:
About us
Manhattan Medical Group's is currently looking for a Prior Authorization Specialist.
The Prior Authorization Specialist performs the duties of working with the Insurance companies for the purpose of getting testing and procedures approved for the patient before it can be scheduled. They are responsible for communicating with Providers and clinical staff on getting approved or what is needed if the request is denied.
The Prior Authorization Specialist is responsible for:
Authorizations department for Manhattan Medical Group.
Review providers schedule to make sure all Doctor's order are input into our EMR.
Confirm the patients insurance, if applicable, the requested test and or procedures, are authorized.
Communicates with the patient's healthcare team and insurance for approvals.
Process retroactive through Insurances, as needed.
If treatment is denied, make initial call to the patient explaining the denial and start the appeal process.
We are looking for the following skills and experience:
A service oriented teamwork mindset
Written and verbal communication skills with personal, patients and patient contacts.
Exceptional time management skills, multi-tasking and prioritize tasks
Knowledge of medical terminology required.
Knowledge of Insurance plans preferred.
Able to evaluate situations in an objective, consistent and fair manner.
Able to utilize effective problem-solving methods with dealing with staff, healthcare professionals, patients and insurance companies.
Job Type: Full-time
Benefits:
Experience:
EMR systems: 2 years (Preferred)
Prior Authorization Specialist: 2 years (Preferred)
...We are seeking a detail-oriented and organized Accounts Payable Associate to join our finance team. You will be responsible for the full... ...can share your geographic zone upon inquiry.Benefits & PerksRemote-first culture401(k) savings plan through FidelityComprehensive...
...Utilization Review Nurse RN - NE ~Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Part-time - Weekends - Weekend shifts - 8:00am-4:30pm ~RN OTHER ~95496 ~$40.12-$62.19 Experience based ~Posted: Yesterday Apply Now Save...
...our residents and communities with the groundwork they need not only to survive but also to thrive. Position Summary The Career Coach is responsible for providing employment placement, retention, and career laddering services to participants and graduates of the...
...Library Assistant I The City of Coronado is accepting applications for the position of Library Assistant I. Under general supervision, to perform front-line paraprofessional public service duties in support of circulation, reference/information, technology assistance...
...Medical ReceptionistAuburn, Maine, United StatesAt ConvenientMD, we're on a mission to make good health more convenient for all working... ...driven to learn from one another.The OpportunityAs a Medical Receptionist, you will be the first face a patient or visitor sees when...