Prior Authorization Specialist
Prior Authorization Specialist
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Job Description
Join Our Team at Skin and Cancer Institute!
Are you passionate about dermatology and skin health Do you thrive in a dynamic patientfocused environment Skin and Cancer Institute is looking for dedicated professionals to join our team!
Why Join Us
At Skin and Cancer Institute we are committed to excellence in dermatology skin cancer treatment and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact.
What Youll Do:
- Maintain current knowledge of insurance policies regulations and requirements to ensure compliance with industry standards.
- Ability to meet productivity and quality measurement requirements.
- Work collaboratively with extended prior authorizations team.
- Review patient medical records and insurance information to determine which services require authorization.
- Coordinate with the practices and insurance companies to obtain preauthorization for medical procedures treatments and dedications.
- Communicate with patients and healthcare providers regarding the status of authorization requests and any changes in coverage.
- Participates in the development of coding and billing strategies evaluating processes related to Revenue Cycle and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA Medicaid Medicare and specific 3rd Party Payors).
- Maintains professional relationships and collaborates across teams.
- Prepares and coordinates revenue cycle responsibilities within the acquisition/implementation process. This includes but is not limited to staff onboarding vendor management and clearinghouse management
What Were Looking For:
- 3 years of experience in Prior Authorizations preferably in dermatology.
- Must have a high school diploma or equivalent educational experience.
- 3 years of remote working experience.
- Demonstrate an understanding of healthcare management including staffing and leadership.
- Demonstrate an understanding of patient accounts.
- Check Benefits and Eligibility (call insurance companies to verify certain information needed)
- Get authorization if needed
- Communicate with the patients.
- Collect payment from patient if needed (includes quote)
- Make sure that insurance information is correct in EMA
- Communicate with the SRT team so they can schedule the patient.
- Answer any and all Klara messages or teams messages.
- Communicate with the MDs when needed
- Make sure that all documentation is in EMA.
- Continue to help and train Juliette where and when needed.
- Ability to educate patients on explanation of benefits for insurance processed claims.
- Communicate effectively with healthcare workers patients and insurance companies.
- Able to prioritize and organize tasks at hand.
- Strong attention to detail positive attitude and a proven ability to lead a team to success.
- Proficient in Microsoft Word Outlook and Excel.
- Knowledge of state regulations.
- Experience with the EHR/PM system Modernizing Medicine/EMA is a plus
What We Offer:
- Competitive salary and benefits
- Health dental vision and ancillary insurance options
- 401K retirement savings
- Paid time off
- Professional development opportunities
- Supportive and fair work environment
Apply Today!Be a part of a dynamic team thats transforming skin health. Submit your resume and cover letter to We cant wait to meet you!
#HealthcareJobs #DermatologyCareers #JoinOurTeam #NowHiring
Required Experience:
Unclear Seniority
Employment Type
Full Time
