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Pre-Authorization Specialist

On-site
  • New York, New York, United States
$21 - $25 per hourBilling/ Call Center

Job description

Manhattan Gastroenterology is looking for a Pre-Auth Specialist to join our billing team. We are looking for someone who is dependable, likes taking on challenges, and meets deadlines. This position is working out of our Chelsea office.

Responsibilities include:

  • responsible for the management of insurance verifications, eligibility and prior authorizations for services requiring referrals, including surgical procedures, visits and diagnostic testing


Ensures that patient demographic, insurance information, verification and eligibility have been established and documented


Verifies pre-certifications and obtains if needed


If pre-certification is not obtained for next day, notifies the referring doctor's office and contacts the patient to find out if they would rather reschedule


Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date



Documents and communicates with clinical staff, physicians, administrators and patients regarding insurance problems/discrepancies; contacts patients to receive updated insurance information or correct issues


Scans documentation into the EMR system as necessary


Inputs and/or obtains authorizations/precertifications into and from within online systems


Initiates and prepares written correspondence as needed and based on functional needs


Disseminates information to colleagues and/or staff as appropriate



Job requirements

Qualifications

  • 2+ Years of Medical billing or healthcare admin Experience
  • Goal-oriented
  • Ability to interpret reports
  • Must be able to work collaboratively in a team environment
  • Can organize and multi-task work responsibilities while completing deadlines

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