Insurance Verification and Prior Authorization

Pulse Physician Organization
Huntsville, TX Full Time
POSTED ON 6/27/2023 CLOSED ON 7/26/2023

What are the responsibilities and job description for the Insurance Verification and Prior Authorization position at Pulse Physician Organization?

Position Description

The Medical Front Desk & Insurance Verification/Prior Authorization position will be responsible for clerical duties for a fast-paced doctor's clinic. Responsible for greeting patients, staff and physicians in a pleasant and professional manner. This position must prioritize and perform various clerical duties while answering all incoming phone calls. Job duties may include but not limited to answering phones, scheduling testing/appointments, checking patients in and out, insurance verification, billing, and other varying responsibilities.

Responsibilities:

· Utilize insurance and websites for verification of coverage and claim status

· Help billing company conduct necessary coverage and claim inquiries

· Document all actions taken

· Help billing company resolve eligibility related denials

Requirements:

· Must be able to prioritize and organize.

· Minimum of one-year medical Preauthorization experience

· Insurance knowledge with electronic edits experience preferred

· Must be proficient in the use and application of personal computers and eClinicalWorks EMR

· High school diploma or GED required. Associate or bachelor’s degree preferred.

· Basic Life Support (BLS) required or obtained within 30 days of employment

· Great communication skills, critical thinking ability, and excellent follow through

Job Type: Full-time

Job Type: Full-time

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Monday to Friday

Ability to commute/relocate:

  • Huntsville, TX: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Insurance verification: 3 years (Required)
  • Medical billing: 1 year (Required)

Work Location: In person

Salary : $38,100 - $48,200

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