What are the responsibilities and job description for the Prior Authorization Specialist / Billing position at Aiyan Diabetes Center?
```Duties```
- Review and process prior authorization requests for medical procedures, treatments, and medications
- Verify insurance coverage and eligibility for requested services
- Collect and analyze medical records, including diagnostic tests, lab results, and physician notes
- Ensure all necessary documentation is complete and accurate for submission
- Communicate with healthcare providers, insurance companies, and patients to gather additional information or resolve any issues
- Utilize medical coding systems such as ICD-9 and ICD-10 to accurately assign codes to procedures and diagnoses
- Adhere to HIPAA regulations and maintain patient confidentiality throughout the authorization process
- Collaborate with the healthcare team to ensure timely and appropriate patient care
```Requirements```
- Previous experience working in a medical office or healthcare setting preferred
- Strong knowledge of medical terminology, procedures, and coding systems (ICD-9, ICD-10)
- Familiarity with insurance verification processes and prior authorization requirements
- Excellent attention to detail and ability to accurately analyze medical records
- Strong communication skills, both written and verbal, for effective interaction with healthcare providers, insurance companies, and patients
- Ability to work independently and prioritize tasks in a fast-paced environment
- Proficient computer skills, including experience with electronic health record systems and Microsoft Office Suite
Note: This job description is intended to provide a general overview of the position. Duties and responsibilities may be subject to change based on organizational needs.
Please submit your resume along with a cover letter detailing your relevant experience.
Job Type: Full-time
Pay: From $15.00 per hour
Benefits:
- Paid time off
Weekly day range:
- Monday to Friday
- Weekends as needed
Experience:
- Insurance verification: 1 year (Preferred)
- Medical billing: 1 year (Preferred)
Ability to Commute:
- Augusta, GA 30907 (Required)
Ability to Relocate:
- Augusta, GA 30907: Relocate before starting work (Required)
Work Location: In person