Overview

Insurance Authorization Specialist Jobs in Montana at Bridger Orthopedic and Sports Medicine

Remote Position available for Montana State Residents

Job Description

Duties and Responsibilities:

  • Is responsible for filing requests for prior authorization for all insurances that require based upon plan or insurance contract.
  • Must request, obtain, and document (within current software) all prior authorizations (or denials of same) appropriately and in a timely manner.
  • Must obtain information about patient insurance coverage, benefits and eligibility.
  • Is responsible for maintaining and updating internal listing of insurance carriers that require authorization.
  • Runs system generated reports to verify procedures by insurances requiring authorization are being captured.
  • Assists collection team with obtaining retro authorizations.
  • Coordinates with scheduling, back office, and front office on prior authorization activity.
  • Maintains the strictest confidentiality in accordance with HIPAA regulations and clinic requirements.
  • Performs related work as required.

Education, Training and Experience: Previous Insurance or authorization experience preferred

Required:

  • High School Diploma
  • Computer literacy and proficient in using Excel

Preferred:

  • 2 years experience in medical office setting
  • Good understanding of ICD10 and CPT codes and their use.

Personal Attributes

This individual must have good organizational skills as well as excellent telephone, written and verbal communication skills. (S)he must project a professional image and work well with the general public and co-workers. Must be able to work as a team member.

Physical Demands:

Approximately 80% of time spent sitting with some reaching. Occasional bending, twisting, and lifting loads typically not in excess of 45 lbs for up to 50 FT.

Machine/Equipment Used:

Computers, printers, fax, adding machine, phone and copy machines.

Bridger Orthopedic offers a competitive salary and benefits package including Medical, Dental, Vision and Life insurance, Paid Time-Off, and generous 401(k) and profit sharing plan.

Job Type: Full-time

Job Type: Full-time

Pay: From $19.50 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Experience:

  • Phone Customer Service: 1 year (Preferred)
  • Customer Service: 1 year (Preferred)

Work Location: Remote

Title: Insurance Authorization Specialist

Company: Bridger Orthopedic and Sports Medicine

Location: Montana

 

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