Prior Authorization Representative - IN PERSON/Part TIme

PART TIME JOB OPPORTUNITY-IN PERSON
Join our dynamic healthcare team as a Prior Authorization Representative, where your expertise will streamline the approval process for medical services and prescriptions. In this vital role, you will serve as the primary point of contact between healthcare providers, insurance companies, and patients to ensure timely authorization of necessary treatments. Your proactive communication skills and thorough understanding of insurance policies will help facilitate seamless patient care while maintaining strict adherence to confidentiality and compliance standards. This position offers an energetic environment where your attention to detail and problem-solving abilities make a meaningful impact on patient outcomes and provider satisfaction.

Responsibilities
Review and process insurance prior authorization requests for medical procedures, tests, and prescriptions in accordance with health insurance policies and managed care guidelines
Verify patient eligibility, insurance coverage, and benefits using electronic health records (EHR) systems and other digital tools
Communicate effectively with healthcare providers to gather necessary clinical documentation and clarify authorization requirements
Maintain accurate medical records, including documentation of authorization status, correspondence, and relevant clinical information
Ensure compliance with HIPAA regulations and clinical confidentiality policies during all interactions and record management
Collaborate with insurance companies to follow up on pending requests, resolve denials, and expedite approvals as needed
Skills
Strong knowledge of health insurance policies, managed care processes, and insurance verification procedures
Proficiency in medical terminology, medical billing, medical coding (CPT, ICD-9/10), and electronic health record (EHR) management systems
Experience with EMR/EHR platforms for documentation and authorization tracking
Excellent customer service skills with the ability to communicate clearly and professionally with providers, insurers, and patients
Familiarity with clinical confidentiality policies such as HIPAA to safeguard sensitive information
Ability to navigate Microsoft Office applications efficiently for documentation and reporting purposes
Prior experience in a medical office or dental office setting is highly desirable for understanding clinical workflows and terminology
Join us in making a difference by ensuring patients receive the care they need swiftly while upholding the highest standards of confidentiality and professionalism. Your dedication will help improve healthcare delivery through efficient prior authorization processes!

Pay: From $16.00 per hour
Application Question(s):
Are you currently in Billings, MT or will you be within 2 weeks?

Experience:
Medical billing: 1 year (Required)
Prior Auth: 1 year (Preferred)
Location:
Billings, MT 59101 (Preferred)
Work Location: In person