Prior Authorization Specialist job - Wooster Pain and Anesthesia Center - Wooster, OH


General Summary of Duties:


Schedules patients for procedures as well as follow up appointments. Insures all procedures are scheduled, obtain insurance authorizations, and confirm appropriate authorizations have been received before the patient is seen for their procedure. Interacts with insurance companies, the nearest hospital, and the surgery center. Provides patient education and instruction for procedures. Assist with answering phone calls, receiving and sending electronic faxes.


Key Responsibilities:
( this list may not include all of the duties assigned)


*Schedules of procedures at the surgery center as well as the hospital.


*Schedules follow up visits 2 weeks after a procedure.


*Sends orders for testing to the necessary locations.


*Maintains patient confidentiality 100% of the time; demonstrates complete discretion when discussing patient information.


*Answers telephone calls, takes accurate messages and provides timely information to the appropriate person.


*Obtains all insurance authorizations, and confirms appropriate authorizations have been received before the patient comes in for their procedure.


*Calls insurance companies to verify that all insurance requires a prior authorization or not.


Required experience:


  • insurance and office : 1 year


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