Prior Authorization Insurance Specialist, Medical

  • Medical Service Company
  • Oct 09, 2019
Full time Admin-Clerical Customer Service Insurance

Job Description

It’s a great time to JOIN OUR TEAM!  

Medical Service Company’s success is due to our exceptionally skilled, dedicated and passionate TEAM!

From our Billing Department to our Board of Directors, from Operations to Organization Development, from Clinicians to Technicians, we all have one common goal…Caring, for life! ™ 

Proud winner of: HME Excellence Award - Best Home Medical Equipment Provider 

The Prior Authorization Specialist participates in monitoring and improving processes relative to the quality, appropriateness, and timeliness of the reimbursement information requirements of our order processing activities. Heavy focus on making outbound calls relating to insurance verification.

Responsibilities and Duties: 

  •  Monitors the accuracy for all updated patient demographic and insurance information through insurance verification
  •  Qualification of revenue by performing Certificate of Medical Necessity processes
  •  Complete daily follow-up process on all assigned patients/equipment to ensure prompt payment
  •  Other duties as assigned

Qualifications: 

  • Education: Graduate of an accredited high school or GED equivalence.
  • Experience/Knowledge/Skills/Physical Requirements:
  • Ability to multi-task in a fast-paced environment, outstanding customer service skills
  • Detail and team oriented
  • Effective communication (verbal and written) and organizational skills
  • Proven computer proficiency, the use of multiple applications simultaneously
  • Knowledge of the HME/DME industry is preferred
  • Previous experience in referral intake and/or medical insurances is preferred




Benefits:

  • Medical/Dental Insurance 
  • Company provided Life Insurance
  • Short Term and Long Term Disability 
  • Tuition Reimbursement Program 
  • Employee Assistance Program (EAP) 
  • 401k (with a matching program) 
  • Paid vacation and holidays