5 Prior Authorizations Jobs

You will be responsible for AR calling and medical billing in the US healthcare industry with 4-8 years of experience, based in Pune. Your expertise in US medical health and billing will be crucial, with an open salary budget for the ideal candidate. Candidates from BPO or back office backgrounds, accustomed to night shifts, are preferred. Your role will involve handling various aspects of medical billing, including verifying eligibility, obtaining prior authorizations, and following up on submitted claims. A strong understanding of different insurance plans is essential. Basic knowledge of Revenue Cycle Management (RCM) is required to excel in this position. Previous experience in AR calling is a must for this role, ensuring smooth operations and effective communication with stakeholders.,

You will play a crucial role in our team as a Pharmacy Billing Specialist at Meteorroids, a company specializing in Pharmacy Billing, Medical Billing, and Institutional Billing. Your primary responsibility will be managing the end-to-end billing cycle, ensuring compliance with healthcare regulations, and meeting insurance requirements. Your attention to detail and experience in infusion services will be essential in maximizing our revenue and supporting operational efficiency. Your key responsibilities will include handling Prior Authorizations, managing Ordering & Inventory, providing Infusion Administration Support, overseeing Billing & Collections, and contributing to Accounting & Financial Reporting. Your proven experience in pharmacy billing, particularly with infusion therapy, will be a valuable asset in this role. To excel in this position, you should have a strong familiarity with medical insurance processes, claim submission, and denial management. A solid understanding of medical terminology and HCPCS/CPT codes is essential, along with proficiency in pharmacy billing software and EMR/EHR systems. Your excellent organizational skills, attention to detail, and ability to work independently and collaborate with cross-functional teams will contribute to your success in this role.,

As a Full-Time Medical Assistant supporting the Gastroenterology practice at Havertown PA within ChristianaCare's Medical Group, your role will involve assisting physicians during patient examinations and treatments, whether conducted virtually or on-site. Your primary responsibilities will include providing quality patient care, supporting patients both virtually and on-site, recording patient vitals, assisting clinicians during procedures, maintaining exam/treatment rooms, updating EMRs with test results, handling patient call backs, sterilizing medical equipment, managing prior authorizations and referrals, and fulfilling other clinical and clerical duties as needed. Within this role, you will work a Monday to Friday day shift schedule without weekends or holidays, ensuring a healthy work-life balance. Additionally, you will have the opportunity to access a comprehensive benefits package, including full medical, dental, vision, and life insurance coverage, retirement planning options, generous paid time off, parental leave, tuition assistance, and various work-life benefits such as care services for dependents, fitness and wellness reimbursement, and discounts on multiple services and products. To be considered for this position, you should possess a high school diploma or equivalent and either be a graduate of a recognized Medical Assistant Program or hold current Medical Assistant Certification from a nationally accredited organization. Preferably, you should have at least 2 years of experience as a Medical Assistant. By joining ChristianaCare, you become part of an organization dedicated to delivering health and making a positive impact on the lives of individuals and communities. With accolades such as being rated among the best health systems for diversity and inclusion, one of the best places to work in IT, and recognized for excellence by various national quality ratings, ChristianaCare offers a rewarding and fulfilling environment for healthcare professionals. If you are passionate about providing exceptional patient care and contributing to a healthcare organization committed to excellence and continuous improvement, we invite you to apply by submitting an updated resume. Join ChristianaCare and be part of a team that is striving to be excellent today and even better tomorrow.,

As a Patient Service Representative at North Shore Physicians Group (NSPG), you will play a crucial role in supporting the operations of our community-based physician practices. Your dedication to administrative tasks will ensure that our teams provide a superior experience that exceeds the expectations of our patients. In this role, you will be responsible for scheduling appointments, obtaining Prior Authorizations from insurances for specific exams, and facilitating the check-in process during the patient's visit. Your ability to multitask, prioritize, and thrive in a high-volume outpatient setting will be essential to your success in this position. You will serve as the first point of contact for our patients, greeting them, answering their questions, and assisting with any necessary paperwork. Additionally, you will be responsible for handling incoming telephone calls, monitoring patient flow, and providing support to practice leadership, clinicians, and peers. To excel as a Patient Service Representative, we are looking for individuals with a positive attitude, innovative spirit, and genuine passion for healthcare. While 2 years of experience in a community-based medical practice is preferred, we also value candidates with Epic experience. Joining NSPG means being part of a team that is committed to clinical excellence, supportive practice environments, and opportunities for career advancement. If you are ready to bring your exceptional skills to this innovative practice and help drive medicine forward, we invite you to apply for the Patient Service Representative role at NSPG. Location: 331 Highland Ave, Salem, MA Schedule: Full-time, Day Shift Organization: North Shore Physicians Group (NSPG) Job Title: Practice Assistant/Patient Services Coord Date Posted: Aug 26, 2024,

As an RCM AR Caller with 2-4 years of experience in US Healthcare medical billing located in Koregaon Park, Pune, you will be responsible for handling various tasks related to medical billing processes during night shifts. Working hours will be 8-9 hours per day, Monday to Friday, starting at 8 PM. Your primary responsibilities will include: - Being willing to work night shifts and having proficiency in written and spoken English. - Demonstrating proficiency in using computers, latest OS systems, and application software. - Possessing excellent communication and interpersonal skills. - Exhibiting strong organizational skills and the ability to multitask effectively. - Working efficiently in a collaborative and fast-paced environment. You will be required to have experience in medical billing processes such as: - Strong knowledge of various types of insurance plans. - Conducting eligibility verification and handling prior authorizations. - Following up on submitted claims and resolving any issues. Basic knowledge of RCM and experience in AR calling are essential for this role. The ideal candidate should be comfortable with night shifts and have experience in international BPO voice/non-voice processes. If you meet these qualifications and are available to join immediately, we look forward to receiving your application. The salary for this position is competitive and will be based on industry standards, your skills, and experience.,