We are seeking a focused Prior Authorization Specialist to join our collaborative team at Riverhills Neuroscience in Cincinnati, OH.
Growing your career as a Full Time Prior Authorization Specialist is a great opportunity to develop productive skills.
If you are strong in negotiation, cooperation and have the right vision for the job, then apply for the position of Prior Authorization Specialist at Riverhills Neuroscience today!
For over 20 years Riverhills Neuroscience has been the region's premier provider of comprehensive neuroscience care by offering a complete diagnosis, education, treatment and rehabilitation services for individuals with the diseases and injuries of the nervous system.
Riverhills Neuroscience currently has an opening for Prior Authorization. This position would work at our Norwood, OH office and work hybrid at home schedule once training is completed.
Job Overview for Medical Billing Specialist - Prior Authorization Responsible for verification and investigation of pre-certification, authorization, pre-determination and/or referral requirements for services. Coordinates and supplies information to the Insurance Payer/review organization including medical information and/or letter of medical necessity for determination of benefits. Collaborates with designated clinical contacts regarding encounters that require escalation to peer-to-peer review. Communicates with patients, clinical partners, and other employees to facilitate authorization process. Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner. Completes accurate and timely documentation in the EMR. Ensures timely and accurate insurance authorizations are in place prior to services being rendered. Follows policies and procedures when necessary authorization is not obtained prior to service date. Answers provider, staff, and patient questions surrounding insurance authorization requirements. Background and Experience for Medical Billing Specialist - Prior Authorization Pain Management experience a plus 1-2 years of relevant experience in medical billing and/or prior authorization within a healthcare practice required Experience with an Electronic Medical Record (EMR) and practice management system required Knowledge of Medicare/Medicaid and major insurance carrier's guidelines Working knowledge of OCD-9 / CPT medical coding and billing Superior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendors Must understand medical terminology Benefits for Full Time Employees: 401k with Profit Sharing and Company Match Hybrid work from home schedule Medical, Dental, and Vision insurance Long Term and Short Term Disability Insurance Life Insurance Paid Holidays 3+ Weeks of Paid Time Off Continuing Education Reimbursement Uniform Allowance Free Parking If you are interested in becoming part of a world-class healthcare team, please apply today. Equal Opportunity/Drug Free Work-place
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Job Posted by ApplicantPro Benefits of working as a Prior Authorization Specialist in Cincinnati, OH:
? Company offers great benefits
? Continuous Learning Opportunities
? Competitive salary
? Remote Work opportunity
