Job Description

Prior Authorization Coordinator

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Positon: Prior Authorization Coordinator
Location: Fall River, MA
Job Type:Full-Time - Remote

Job Description:
Prima Care, P.C. has an opening for a full-time Prior Authorization Coordinator.  In this position, the individual will be responsible for prior authorizations. A key component for this position is to work closely with referring physicians’ office staff and insurance companies to quickly and efficiently obtain the necessary information/documentation to get prior authorizations.  Primary Responsibilities include:

• Request, track, and obtain prior authorizations from insurance carriers/third party authorization companies within a reasonable time frame.
• Contact insurance carriers to verify patient’s insurance benefits and requirements specific to the requested radiology procedures.
• Follow up with insurance carriers/third party authorization companies prior to services being performed to secure prior authorization.
• Work closely with referring physicians to obtain necessary data needed to submit for prior authorization.
• Maintains a level of productivity suitable for the department
• Must be a team player
• Communicate any insurance changes or trends back to management and the scheduling team

Benefits for our Permanent Placements Include:
Medical, Dental, Vision and Life Insurance.  401K/ROTH and Safe Harbor Plans.  Paid Time Off.

Minimum Requirements and Skills:

• 2 years of prior authorization/referral experience in a medical office setting
• Must have excellent written and verbal skills
• Strong attention to detail, organizational skills and ability to meet deadlines and work efficiently
• Must have the ability to multitask and adapt to working under pressure
• Excellent phone etiquette
• Excellent customer service skills
• Must be able to problem solve and think outside the box
• Must be able to work as a team player
• Fast learner
• Excellent computer skills
• Medical terminology, medical office and HIPAA regulations

About PrimaCARE, P.C.:
Prima Care, P.C. was founded in 1996 and is a large, multi – specialty medical group serving southeastern New England.  With over 150 providers, including primary care physicians and a broad range of specialists, we offer quality health care, a diversity of services and treatments, convenient and friendly service, and state –of-the-art testing facilities to support your diagnosis and treatments.
In addition to our main Fall River campus and walk-in Center, Prima Care has medical offices and Walk In centers in Somerset, Westport, and Dartmouth, as well as satellite offices in Tiverton, Rhode Island.  We also provide care in patient’s homes, nursing homes and hospitals and two Outpatient Physical Therapy clinics located in Fall River and Somerset, MA.
We live and work by the golden rule and our company values that include integrity, respect, professionalism, ethical behavior and partnership. 

Job Tags

Permanent employment, Full time, Remote job,

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