Prior Authorization Specialist

Pacific Neuropsychiatric Specialists

Job Location:

Irvine, CA - USA

Hourly Salary: $ 22 - 24

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

Benefits:

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

Job Summary:

We are seeking a motivated and like-minded Health Information Specialist. This is a full-time in-office position. The Health Information Specialist will manage and maintain the accuracy security and privacy of electronic and paper-based medical records manage data quality and ensure compliance with legal and industry standards. This person will also be responsible for helping with our prior authorizations department by discussing medications insurance and prior authorization documents with patients getting prior authorization approval from insurance companies filing appeals and ensuring completeness and accuracy on all prior authorizations.

Key Responsibilities:

Submitting requests to insurance companies gathering necessary documents completing forms and following up on the status of the requests.
Provide updates on the authorization review requests for completeness and ensure all supporting documents are submitted to expedite approvals.
Receive requests for prior authorizations and ensure that they are properly and closely monitored within company-set standards.
Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is completed.
Collaborate with other departments to assist in obtaining prior authorizations/appeals.
Document all interactions with insurance companies within the EMR system.
Proactively work on prior authorizations that are due to expire.
Completes all required duties projects and reports in a timely fashion on a daily weekly or monthly basis per the direction of the leadership.

Required Skills and Qualifications:

Prior Authorization experience is required
Experienced with knowing how to submit requests to insurance companies and follow up
very familiar with the insurance plans - HMO and PPO
Previous experience working in a medical/psychiatric facility
Excellent communication skills both written and oral.
Proficient telephone and computer skills.
Must be able to prioritize multiple tasks at once and deal with high stress levels in an environment of changing priorities.

Compensation and Benefits:

PNS offers a competitive compensation package including; medical dental and paid time off for full time employees.
Hourly rate based on skill experience and tenure of your profession.

Compensation: $22.00 - $24.00 per hour

We are Pacific Neuropsychiatric Specialists (PNS) and our experience enables us to offer effective outpatient individualized psychiatry care. Our psychiatry team provides psychiatric treatments for children adolescents adults and seniors from multiple offices located throughout Orange County we do accept patients from the entire United States as well. Our psychiatrists treat a number of mental health disorders including anxiety stress PTSD bipolar schizophrenia dementia depression ADD ADHD alcohol and chemical dependency and more. Our Psychiatry practice was founded on the principles of treating patients with care compassion and understanding.

Required Experience:

Benefits:401(k) matchingDental insuranceHealth insurancePaid time offVision insuranceJob Summary:We are seeking a motivated and like-minded Health Information Specialist. This is a full-time in-office position. The Health Information Specialist will manage and maintain the accuracy security and priv...