Prior Authorization Specialist
Job Overview:
As a Prior Authorization Specialist, you will play an important role in the billing department, working closely with the clinical staff to ensure timely insurance authorizations. We are seeking candidates with excellent communication, organization, and follow-up skills, who can handle multiple assignments simultaneously while demonstrating attention to detail and good judgment.
Benefits:
- Paid time off
- Paid holidays
- Health insurance
- 401(k) matching
- Dental insurance
- Vision insurance
- Life insurance
Schedule
8:00am-4:30pm Monday-Friday schedule
Essential Functions
- Verify patient insurance benefits, eligibility, and demographic information accurately.
- Submit, obtain, and track insurance authorizations.
- Assist patients in understand their insurance coverage and financial obligations.
- Review patient accounts and set up patient payment agreements when necessary.
- Support optimal insurance coverage.
- Perform medical billing functions, ensuring accuracy and compliance with relevant regulations.
- Identify and obtain other forms of financial assistance to ease patient financial burden.
Job Experience
- Minimum 2 years' experience with Microsoft Word and Excel.
- Medical office experience required, with prior experience in insurance-related roles preferred.
- Demonstrated knowledge of health-care payment methodology including Medicare, Medicaid, HMOs, PPOs and secondary payers.
- Oncology-related experience, medical billing experience, and familiarity with EMR systems are considered a plus
More about Bolivar, Missouri
Bolivar boasts the best of all worlds: thriving businesses, awarding-winning schools, a first-class university, state-of-the-art medical facilities, compassionate churches, active civic organizations, peaceful parks and limitless recreational opportunities. Conveniently located on newly-expanded Highway 13 between Kansas City and Springfield, our town of 10,000 offers you the benefits of a bustling metropolis partnered with the peace and serenity you’ll only feel in a rural setting. As of the 2010 census, the population was 10,325.
Bolivar R-I School District has a AAA rating and features four award-winning campuses. Most recently, Bolivar High School was nominated for the National Blue Ribbon Award by the Missouri Department of Elementary and Secondary Education. Bolivar is also home to Southwest Baptist University, a four-year co-educational liberal arts university, Bolivar Technical College, and Polk County Christian School.
Bolivar is a fast-growing community but still maintains a small town family atmosphere. If you’re looking for something new, shop one of our many locally-owned stores or visit the year-round Greater Polk County Farmer’s Market. Sports enthusiasts can support the local high school and university sports teams by attending a game. Have fun at a parade or festival held regularly at the historic Bolivar square or the Polk County Fairgrounds, and Bolivar features more than 20 churches to worship in.
Among the many events held annually in Bolivar are the Light The Park celebration, Arts In The Parks, the Polk County Junior Livestock Show & Youth Fair, the CMH Basketball HoopFest, the SBU Homecoming Parade, the Bolivar Christmas Parade, Taste of Bolivar, the Lawn and Garden show, Country Days, and the 4th of July Celebration of Freedom.
Featured Attractions:
Polk County Museum
Ella Carothers Dunnegan Gallery of Art
Silo Ridge Golf & Country Club
Dunnegan Memorial Park
Aqua Zone at the Roy Blunt YMCA
Lucas Oil Speedway
Stockton Lake/State Park
Pomme de Terre Lake/State Park
Lake of the Ozarks