New Policy Specialist jobs in Goose Creek, SC

Charleston GI has been developing since 1989, our practice is the first and largest gastroenterology practice in the Lowcountry to operate a physicians’ practice and three nationally certified and state licensed endoscopy centers. Our team includes eleven outstanding Board Certified Gastroenterologists, with a combined experience of over 100 years of treating patients.    

We value the health, service, and satisfaction of our patients above all else. 

We are seeking a highly motivated and productive individual to join our Prior Authorization team. Duties include:

• Obtain Prior Authorizations for all Endoscopy and Office procedures, radiology tests, and genetic testing
• Verify patient eligibility and deductible information prior to procedures
• Process and mail deductible and co-pay letters
• Contact patients with deductible information as needed
• Note account with deductible and copay information

Position location and hours: 2001 2nd Avenue Suite 101, Summerville, SC 29486  

                                             Mon-Thursday: 8:00am- 5pm   Fridays: 8:00am-1pm

Requirements:

·         Minimum of two years experience involving prior authorization

·         Demonstrate proficiency in keyboarding/computer use

·         Strong organizational and task prioritization skills

·         Patient advocacy focus

·         Ability to understand benefit and eligibility issues with insurance carriers

·         Ability to communicate with insurance company representatives and patients in a professional manner

·         Excellent problem solving skills

·         Knowledge of medical terminology, CPT, ICD-10, and HIPAA regulation

·         Perform to company standards of compliance with policies and procedures.