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Intake Prior Authorization Jobs in Washington (NOW HIRING)

Better Morning Inc

Care Coordinator

Ashburn, VA · On-site

$22 - $25/hr

Schedule consumer for intake * Create consumers profile in credible * Prior medical billing experience required to perform obtain prior-authorizations * Check the voice messages, save or delete as ...

Better Morning, Inc.

Care Coordinator

Ashburn, VA · On-site

Schedule consumer for intake * Create consumers profile in credible * Prior medical billing experience required to perform obtain prior-authorizations * Check the voice messages, save or delete as ...

CareMetx

Reimbursement Case Manager

Bethesda, MD · On-site

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access ... Performs reimbursement related activities such as benefit investigations, prior authorizations ...

CareMetx

Reimbursement Case Manager

Bethesda, MD · On-site

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access ... Performs reimbursement related activities such as benefit investigations, prior authorizations ...

Athletico

Front Office Coordinator - Arnold, MD

Arnold, MD

$16 - $21/hr

The Patient Experience Coordinator (PEC) ensures accurate patient intake and financial clearance ... Strong understanding of insurance verification processes , prior authorization requirements, and ...

AthletiCo

Front Office Coordinator - Arnold, MD

Arnold, MD · On-site

$16 - $21/hr

The Patient Experience Coordinator (PEC) ensures accurate patient intake and financial clearance ... Strong understanding of insurance verification processes, prior authorization requirements, and ...

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Intake Prior Authorization information

What are the key skills and qualifications needed to thrive as an intake prior authorization specialist?

To thrive as an Intake Prior Authorization Specialist, you need a strong understanding of insurance policies, medical terminology, and healthcare processes, often supported by a background in healthcare administration or a related field. Familiarity with prior authorization software, electronic medical records (EMRs), and payer portals is essential. Attention to detail, problem-solving abilities, and effective communication are crucial soft skills for navigating complex insurance requirements and collaborating with providers. These skills ensure timely and accurate processing of prior authorizations, reducing delays in patient care and supporting organizational efficiency.

What is an intake prior authorization specialist?

An Intake Prior Authorization Specialist is a healthcare professional responsible for processing and obtaining prior authorizations for medical procedures, medications, or services. They review requests from healthcare providers to ensure that the necessary documentation is provided and that the requested services meet insurance guidelines. This specialist acts as a liaison between providers, patients, and insurance companies to facilitate timely approvals and avoid delays in patient care. Their work helps ensure insurance coverage and compliance with healthcare regulations.

What are some common challenges faced in an intake prior authorization role, and how can they be managed?

Professionals in Intake Prior Authorization often navigate high volumes of requests, rapidly changing insurance guidelines, and tight turnaround times. Staying organized, maintaining up-to-date knowledge of payer requirements, and using strong communication skills can help manage these challenges. Collaborating closely with clinical and administrative teams is also key to ensuring timely and accurate processing of authorizations. Regular training and support from experienced colleagues can further ease the transition into this fast-paced environment.

What is the difference between Intake Prior Authorization vs Medical Office Assistant?

AspectIntake Prior AuthorizationMedical Office Assistant
CredentialsTypically requires knowledge of insurance policies, medical terminology, and sometimes certification in healthcare administrationHigh school diploma or equivalent; may have medical assisting certification
Work EnvironmentHealthcare facilities, insurance companies, or specialty clinicsMedical offices, clinics, hospitals
Primary ResponsibilitiesReviewing insurance requirements, obtaining prior authorizations, verifying patient insuranceScheduling appointments, patient check-in, data entry, administrative support

Intake Prior Authorization specialists focus on insurance approval processes, while Medical Office Assistants handle broader administrative tasks. Both roles are essential in healthcare settings but serve different functions related to patient intake and administrative support.

What are popular job titles related to Intake Prior Authorization jobs in Washington? For Intake Prior Authorization jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Intake Prior Authorization jobs in Washington look for? The top searched job categories for Intake Prior Authorization jobs in Washington are:
What cities in Washington are hiring for Intake Prior Authorization jobs? Cities in Washington with the most Intake Prior Authorization job openings:
Intake Prior Authorization jobs near you

Care Coordinator

Better Morning Inc

Ashburn, VA • On-site

$22 - $25/hr

Other

Posted 14 days ago

Job description

Care Coordinator with some prior medical office experience needed to greet clients, schedule appointments, answer phones, check insurance benefits via phone or online, obtain prior-authorizations, collect payments (copays, coinsurance, etc.) and conduct office functions such as copying, filing, chart management, etc., for a behavioral health practice. These duties are not inclusive and will include other tasks as assigned. Must be very good at professional communication.

Responsibilities:

  • Work closely with Psychiatrist
  • Attend staff meetings and other activities, which ensure the smooth functioning of clinical operations.
  • Run the case load report
  • Complete consumer surveys
  • Make reminder calls for assessors, psychiatrist, NP, therapists
  • Document the reminder calls
  • Schedule consumer for intake
  • Create consumers profile in credible
  • Prior medical billing experience required to perform obtain prior-authorizations
  • Check the voice messages, save or delete as needed
  • Review each clinician’s availability for the week for D&A and tele counseling and keep a note of these availability to serve the consumers
  • Review the no show report, call and reschedule
  • Other related duties as assigned

Qualifications:
Qualifications

Education: BS/BA in Social Science Field or related fields

Experience: Customer service: 1 year (Preferred)

Additional Information

Number of Position: 4 Positions

Ability to commute/relocate:

  • Washington DC- Reliably commute or willing to relocate (Required)

Job Type: Full-time

Pay: $22.00 - $25.00 per hour

Schedule:

  • 8 hour shift
  • Monday to Friday
  • Weekends as needed

Work Location: In person

Compensation:
$22-$22

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