Medical Assistant/Prior Authorization Specialist

We are an interventional pain management practice dedicated to evaluating and treating non-surgical orthopedic issues.

Monday-Friday

SUMMARY

As a prior authorization specialists, You will also be responsible for obtaining and resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all payers. In addition, the Prior Authorization Specialist may be responsible for pre-appointment registration and insurance review to maximize the submission of a clean claim.

You may be asked to cross cover as a medical assistant. One must be able to effectively triage patients in a timely manner and perform clinical duties under the supervision of a licensed provider.

Must be able to problem-solve and multitask as we are a fast-paced practice.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Assembles information concerning the patient's clinical background and clinical information that is required for the payer to issue a referral or an authorization. Per referral guidelines, provide appropriate clinical information to the payer.
• Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, CPT codes and clinical notes.
• Triage patients to be seen by providers which include, but are not limited to: rooming patients, taking vitals, merging patient charts and communicating directly with patients
• Assist providers in exam rooms
• Effectively process messages between patients and providers or other medical offices
• Report to team lead or physician
• Prior authorizations

REQUIREMENTS

• Detail-oriented
• Willingness to cross-train on all other clinical responsibilities
• Experience using EPIC, eClinicalWorks, or other EHR system preferred
• 1 year clinical experience preferred
• CMA Degree preferred, or equivalent combination of education, training and experience

Job Locations: Munster

Experience:

• medical assistant: 1 year (Preferred)
• At least 1 year of prior experience in a healthcare setting handling benefit verification and prior authorizations Required
• Billing or coding certifications Preferred

Job Type: Part-time

Pay: From $18.00 per hour

Benefits:

• Flexible schedule
• Opportunities for advancement

Experience:

• Medical Office Experience: 1 year (Preferred)
• prior authorization: 1 year (Required)
• EMR Systems: 1 year (Required)

Language:

• Any languages other than English? (Preferred)

License/Certification:

• Certified Medical Assistant (Preferred)

Ability to Commute:

• Munster, IN 46321 (Preferred)

Work Location: In person