Prior Authorization Specialist Details

Prior Authorization Specialist

Charleston Gastroenterology Specialist P - Summerville, SC

Employment Type : Full-Time

Charleston GI has been developing since 1989, our practice is the first and largest gastroenterology practice in the Lowcountry to operate a physicians’ practice and three nationally certified and state licensed endoscopy centers. Our team includes eleven outstanding Board Certified Gastroenterologists, with a combined experience of over 100 years of treating patients.

We value the health, service, and satisfaction of our patients above all else.

We are seeking a highly motivated and productive individual to join our Prior Authorization team. Duties include:

• Obtain Prior Authorizations for all Endoscopy and Office procedures, radiology tests, and genetic testing
• Verify patient eligibility and deductible information prior to procedures
• Process and mail deductible and co-pay letters
• Contact patients with deductible information as needed
• Note account with deductible and copay information

Position location and hours: 2001 2nd Avenue Suite 101, Summerville, SC 29486

Mon-Thursday: 8:00am- 5pm Fridays: 8:00am-1pm

Requirements:

• Minimum of two years experience involving prior authorization

• Demonstrate proficiency in keyboarding/computer use

• Strong organizational and task prioritization skills

• Patient advocacy focus

• Ability to understand benefit and eligibility issues with insurance carriers

• Ability to communicate with insurance company representatives and patients in a professional manner

• Excellent problem solving skills

• Knowledge of medical terminology, CPT, ICD-10, and HIPAA regulation

• Perform to company standards of compliance with policies and procedures.