Prior Authorization Coordinator

Kane Hall Barry Neurology, Bedford & Keller; Bedford; On-site; GBP 30,000 - 40,000; Full time

Job summary

A healthcare facility in Bedford seeks a Prior Authorization Coordinator responsible for obtaining pre-certifications and authorizations for medical procedures. Candidates should have a high school diploma, significant experience in scheduling and insurance billing, and strong communication skills. The job involves coordination of patient appointments and management of eligibility worklists in the EMR system.

Qualifications

• Minimum of two years of experience with scheduling and insurance billing for medical services.
• General knowledge of office procedures, equipment, and computer skills.
• Experience in a Neurological setting is a plus.

Responsibilities

• Obtain pre-certifications and pre-authorizations for procedures and medications.
• Verify for toxin, testing, and cognitive appointments.
• Maintain and complete eligibility worklist daily task.

Skills

Excellent verbal and written communication skills

Scheduling and insurance billing

General knowledge of ICD10 and CPT codes

Ability to work under minimal supervision

Education

High School Diploma or equivalent

Tools

EMR system

Job description

**POSITION TITLE:** Prior Authorization Coordinator**STATUS:** Non- Exempt**REPORTS TO:** Billing Office Supervisor**DIRECT REPORTS:** N/A**ACCOUNTABILITY OBJECTIVE:** Responsible for obtaining pre-certifications and pre-authorizations for procedures and medications helping to coordinate patient appointments.**KEY RESPONSIBILITIES:** • Verification for toxin, testing, and cognitive appointments. • Obtain authorizations for all appointments. • Process new order for toxins. • Answer billing office calls. • Maintain and complete prepayment worklist in EMR system. • Maintain and complete eligibility worklist daily task. • Maintain and complete worker’s compensation caseload. • Cleanout billing folder in EMR system including faxes and voicemails. • Other job duties as assigned.**QUALIFICATIONS AND SKILLS:** • High School Diploma or equivalent. • Excellent verbal and written communication skills to include superior interpersonal and patient contact skills and excellent telephone manners. • Minimum of two years of experience with scheduling and insurance billing for medical services with general knowledge of ICD10 and CPT codes. • General knowledge of office procedures, equipment, and comprehensive computer skills. • Work under minimal supervision and effectively in a team environment. • EMR experience a plus.**ADDITIONAL EXPERIENCE, NOT REQUIRED:** • At least one (1) year of related experience in a Neurological setting • Prior Authorization Certification a plus • Strong computer and typing skills • Knowledge of basic medical terminologyIf you have an appointment scheduled at our clinic or Infusion Center in **Bedford** on or after **10/14/2025**, we will see you at the new location.