Prior Authorization Representative Job at DaMar Staffing Solutions, Indianapolis, IN

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  • DaMar Staffing Solutions
  • Indianapolis, IN

Job Description

Prior Authorization Representative Job Description  

 

Client Profile - An Indiana based Independent Physician-Owned radiology practices founded in 1967 .  

 

Job Summary - Prior Authorization Representative is responsible for securing inpatient/outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates and obtaining prior authorizations before service are rendered . Must be comfortable working with clinical professionals.  

 

Job Duties  

  • Verify insurance eligibility, benefits, network status and create pre-service liability estimate.  

  • Ensure accurate ICD, CPT codes and related medical records are submitted in the authorization request.  

  • Secure prior authorizations of inpatient and outpatient imaging.  

  • Acts as a liaison between the payer and clinic schedulers/medical support.  

  • Follows up on delayed or denied authorizations requests and escalates for resolution.  

  • Create detail documentation and maintain /stores the authorization paper trail.  

 

Requirements

Qualifications  

  • High School Diploma, 3+years of experience in a health care financial setting or medical office setting. Must have previous prior authorization experience.  

  • Excellent customer service skills, strong attention to details, multi-task as needed.  

  • Must be familiar with an EMR or HER; Microsoft Office 365 

  • Must be able to take responsibility and work under pressure . Work efficiently in a busy medical office.  

  • Must be a positive team player.  

  • K nowledge of ICD-10, CPT, and HCPCS codes specific to radiology is a plus.  

  • Proficient in medical terminology, especially radiological terms and procedures.  

  • Days/Hours: M/F 8a to 5pm (Availability to start as early as 7a and work as last as 6:00pm is a plus) 

  • Starting pay $20 .00 to $21 .00 hourly (Based on experience) 

 

Job Tags

Hourly pay, Full time,

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