Prior Authorization Specialist
Job description
THE MOVING FORWARD COMPANY is a physical therapy and wellness clinic located in New York City. Our aim is to improve the overall health and quality of life of our patients by eliminating pain, increasing strength and mobility, and providing the highest level of care that allows them to live without physical limitation. Attention to detail with individualized programs for each patient is our top priority.
MOVING FORWARD COMPANY offers comprehensive physical therapy, recovery for lifestyle athletes, acupuncture, massage, functional training, and strength & conditioning, all under one roof. The MOVING FORWARD Team is comprised of talented and dedicated professionals who have a passion for helping people. Our team members value the power of collaboration and healing, and work together for the good of each patient that walks thru our doors to promote lifelong health and wellness.
Our work environment includes:
- Modern office setting
- Growth opportunities
- Relaxed atmosphere
- Company perks
We are looking for an experienced Prior Authorization Specialist to join our team. The successful candidate will be responsible for reviewing and processing prior authorization requests and medical record requests from insurance carriers. The ideal candidate will have a strong understanding of insurance policies, medical terminology, and the ability to work independently while managing multiple tasks. This is an excellent opportunity for a motivated individual to join a fast-paced and dynamic team.
Responsibilities:
- Review and process prior authorization requests.
- Verify patient eligibility and benefits.
- Ensure accuracy of prior authorization forms.
- Communicate with providers regarding prior authorization requests.
- Maintain records of prior authorization requests and outcomes.
- Provide guidance to providers regarding prior authorization processes.
- Monitor and track prior authorization requests to ensure timely processing.
- Submit medical records as requested by insurance carriers
- Knowledge of Medicare therapy threshold and billing requirements
- Knowledge of billing and collections a plus
Job Type: Full-time
Pay: $22.00 - $24.00 per hour
Benefits:
- Disability insurance
- Employee discount
- Flexible schedule
- Health insurance
- Paid time off
Schedule:
- 8 hour shift
- Monday to Friday
Ability to commute/relocate:
- New York, NY 10022: Reliably commute or planning to relocate before starting work (Required)
Education:
- Bachelor's (Preferred)
Experience:
- Insurance verification: 5 years (Required)
- Medical billing: 5 years (Preferred)
- Prior authorization: 3 years (Preferred)
Work Location: In person
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