Eugene, OR
Description
Obtaining and Processing Prior Authorizations and Referrals:
Gathering and submitting necessary documentation to insurance companies for prior authorization of services, procedures, medications, and obtaining insurance referrals.
Obtaining and Processing Prior Authorizations and Referrals:
Gathering and submitting necessary documentation to insurance companies for prior authorization of services, procedures, medications, and insurance referrals.
Verify Insurance Coverage and Benefits:
Ensuring that patients’ insurance policies cover the requested services and that any necessary pre-certification or authorization requirements are met.
Tracking Authorization Status:
Monitoring the status of prior authorization requests, following up on pending requests, and ensuring timely processing.
Communicating with Healthcare Providers and Staff:
Collaborating with physicians, nurses, and other healthcare professionals to ensure accurate and timely processing of authorizations.
Maintaining Accurate Records:
Keeping detailed records of authorization requests, communications, and outcomes.
Ensuring Compliance:
Adhering to relevant regulations and policies related to prior authorization, including HIPAA.
Additional Skills and Knowledge:
- Knowledge of medical terminology and insurance protocols .
- Strong organizational skills and attention to detail .
- Excellent communication and interpersonal skills .
- Ability to use computer systems and software used for insurance billing. and authorization.
- Experience with using Electronic Health Records (NextGen preferred).
Summary
Though this position is remote, all candidates must reside in the State of Oregon.
Slocum is an at-will employer and employment can be terminated by either employer or employee at any time, with or without cause or notice.
Slocum is an EEO/AA/M/F/Vet/Disability employer.
