Prior Authorization Specialist
Full Time
Knoxville, TN
Posted
Job description
Job Type
Full-time
Description
University Physicians' Association is looking for a full-time Prior Authorization Specialist for a busy medical oncology practice located within the UT Medical Center
Position Summary: This position is responsible for obtaining prior authorizations for procedures and/or medications, scheduling appointments for outpatient radiology scans, and coordinating patient appointments.
Knowledge/Skills/Abilities:
- Have strong verbal and written communication skills.
- Be highly organized and self-motivated.
- Requires effective customer relation skills.
- Requires good judgment, tact, and ability to problem solve.
- Able to work effectively in a team environment.
- Able to use a computer and related software.
- Experience with insurance and prior authorizations.
Essential Responsibilities:
- Request, follow up, and secure prior authorizations prior to services being performed.
- Contact insurance carriers to verify patient’s insurance eligibility, benefits, and requirements.
- Demonstrate and apply knowledge of medical terminology; high proficiency of general medical office procedures including HIPAA regulations.
- Communicate any insurance changes or trends among team.
- Maintains a level of productivity suitable for the department.
- Clearly document all communications in standardized documentation requirements.
- Other duties as assigned.
Full benefit package available, including Medical, Dental, Vision, STD, LTD, Life Insurance, 401k, and more!
Requirements
Previous experience in a medical office setting preferred.
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