Prior Authorization Specialist
About The Position
Columbus Arthritis Center is one of the largest Rheumatology practices in Ohio. Our mission is to provide exceptional and compassionate healthcare to every patient we can. We are dedicated to creating a welcoming environment where patients are respected and supported in their healthcare journey. We are also dedicated to fostering an environment where each employee is valued, empowered, and encouraged to grow personally and professionally. Every employee is valued and considered an integral part of our success. We are seeking a full-time Prior Authorization Specialist . This position is responsible for prior authorizations of injectable and oral medications and coordination among patients, third-party payers, and the Practice. This person will be responsible for the prior authorization lifecycle, including: Verifying patient insurance coverage and determine the need for a P.A. Preparing and submitting P.A. requests to insurance companies and ensuring all documentation is submitted Monitoring the status of the P.A. Adressing and resolving any roadblocks in the process Ensuring HCPCS codes and ICD-10 codes are accurate To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The functions listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other Duties This job description is not all-inclusive regarding the activities, tasks, duties, or responsibilities that are required of the associate in this job. Tasks, duties, and responsibilities may change at any time, with or without notice.
Responsibilities
- Verifying patient insurance coverage and determine the need for a P.A.
- Preparing and submitting P.A. requests to insurance companies and ensuring all documentation is submitted
- Monitoring the status of the P.A.
- Adressing and resolving any roadblocks in the process
- Ensuring HCPCS codes and ICD-10 codes are accurate
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k)
- Paid time-off
- Holiday pay
- Critical Ilness insurance
- Accident insurance
- Life insurance
- Short and long term disability insurance
- Employee Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
