ECAA - Anesthesia Specialists
Prior Authorization Specialist
ECAA - Anesthesia Specialists, Holly Springs, North Carolina, United States, 27540
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Position Summary
At ECPC Pain Specialists Holly Springs, we are dedicated to providing exceptional care guided by our core values of compassion, integrity, and teamwork. We are currently seeking a detail-oriented, reliable, and patient-focused Procedure Prior Authorization Specialist to join our administrative team in Holly Springs, NC. This individual will play a critical role in ensuring patients receive timely and appropriate care by managing prior authorizations for procedures, imaging and medications as well as conducting insurance verifications. The ideal candidate will have a positive, upbeat personality and support our team in fostering a welcoming and efficient environment for patients and staff alike. This is an excellent opportunity for someone who thrives in a busy, dynamic clinical setting, is tech-savvy, and values collaborative work with a purpose-driven team.
Location: Primary – Holly Springs, NC (ECPC Holly Springs Interventional Pain and Spine)
Status: Full-Time, Non-Exempt
Department: Administrative – ECPC Holly Springs Interventional Pain and Spine
Reports To: Leadership Team
Supervisory Responsibilities: None
Schedule: Monday – Friday, 7:30 AM – 4:30 PM
Key Responsibilities
Obtain, review, and submit prior authorizations for diagnostic imaging (including MRIs), in-office and outpatient pain procedures and medications.
Verify insurance coverage and eligibility, including Medicare and Medicaid, and interpret benefit information for both patients and staff.
Navigate and utilize Electronic Medical Records (EMR) systems (eClinicalWorks) to accurately document and retrieve insurance and patient information.
Collaborate with clinical and administrative teams to ensure timely scheduling of procedures and appointments.
Handle appeals and denials processes with insurance providers, demonstrating persistence and advocacy for patient care.
Provide courteous and professional phone and in-person communication with patients regarding authorizations, benefits, and billing inquiries.
Assist with general office support, including covering the front desk, answering phones, assisting with billing inquiries, and other administrative duties as assigned.
Qualifications Education & Experience:
High school diploma or equivalent required.
Minimum of 1 year experience in medical office procedure prior authorizations and insurance verifications.
Experience in pain management or a specialty practice is strongly preferred.
At least 1 year of hands-on experience using EMR systems.
Strong working knowledge of medical terminology, CPT codes, and various insurance plans.
Required Skills & Attributes
Demonstrates compassion and professionalism in all patient and team interactions.
Exhibits integrity through accurate, honest, and confidential handling of patient information.
Embraces teamwork by being a dependable, adaptable, and proactive contributor to the clinical team.
Excellent organizational, multitasking, and communication skills.
Highly dependable with the ability to prioritize tasks in a fast-paced environment.
Positive attitude and strong sense of accountability.
Work Environment & Physical Requirements
Work is performed in a clinical office setting.
Frequent interaction with physicians, clinical staff, and administrative team members.
Must be able to manage routine interruptions and shift priorities as needed.
Occasional travel to Apex and Knightdale locations for coverage support may be required.
ECAA is an equal opportunity employer and does not discriminate against any applicant or employee on the basis of age, race, color, religion, sex, national origin, genetic information, disability, or other legally protected status. This policy extends to all terms, conditions, and privileges of employment, as well as the use of the Company’s facilities and participation in all activities sponsored by the Company.
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Position Summary
At ECPC Pain Specialists Holly Springs, we are dedicated to providing exceptional care guided by our core values of compassion, integrity, and teamwork. We are currently seeking a detail-oriented, reliable, and patient-focused Procedure Prior Authorization Specialist to join our administrative team in Holly Springs, NC. This individual will play a critical role in ensuring patients receive timely and appropriate care by managing prior authorizations for procedures, imaging and medications as well as conducting insurance verifications. The ideal candidate will have a positive, upbeat personality and support our team in fostering a welcoming and efficient environment for patients and staff alike. This is an excellent opportunity for someone who thrives in a busy, dynamic clinical setting, is tech-savvy, and values collaborative work with a purpose-driven team.
Location: Primary – Holly Springs, NC (ECPC Holly Springs Interventional Pain and Spine)
Status: Full-Time, Non-Exempt
Department: Administrative – ECPC Holly Springs Interventional Pain and Spine
Reports To: Leadership Team
Supervisory Responsibilities: None
Schedule: Monday – Friday, 7:30 AM – 4:30 PM
Key Responsibilities
Obtain, review, and submit prior authorizations for diagnostic imaging (including MRIs), in-office and outpatient pain procedures and medications.
Verify insurance coverage and eligibility, including Medicare and Medicaid, and interpret benefit information for both patients and staff.
Navigate and utilize Electronic Medical Records (EMR) systems (eClinicalWorks) to accurately document and retrieve insurance and patient information.
Collaborate with clinical and administrative teams to ensure timely scheduling of procedures and appointments.
Handle appeals and denials processes with insurance providers, demonstrating persistence and advocacy for patient care.
Provide courteous and professional phone and in-person communication with patients regarding authorizations, benefits, and billing inquiries.
Assist with general office support, including covering the front desk, answering phones, assisting with billing inquiries, and other administrative duties as assigned.
Qualifications Education & Experience:
High school diploma or equivalent required.
Minimum of 1 year experience in medical office procedure prior authorizations and insurance verifications.
Experience in pain management or a specialty practice is strongly preferred.
At least 1 year of hands-on experience using EMR systems.
Strong working knowledge of medical terminology, CPT codes, and various insurance plans.
Required Skills & Attributes
Demonstrates compassion and professionalism in all patient and team interactions.
Exhibits integrity through accurate, honest, and confidential handling of patient information.
Embraces teamwork by being a dependable, adaptable, and proactive contributor to the clinical team.
Excellent organizational, multitasking, and communication skills.
Highly dependable with the ability to prioritize tasks in a fast-paced environment.
Positive attitude and strong sense of accountability.
Work Environment & Physical Requirements
Work is performed in a clinical office setting.
Frequent interaction with physicians, clinical staff, and administrative team members.
Must be able to manage routine interruptions and shift priorities as needed.
Occasional travel to Apex and Knightdale locations for coverage support may be required.
ECAA is an equal opportunity employer and does not discriminate against any applicant or employee on the basis of age, race, color, religion, sex, national origin, genetic information, disability, or other legally protected status. This policy extends to all terms, conditions, and privileges of employment, as well as the use of the Company’s facilities and participation in all activities sponsored by the Company.
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