[Hiring] Prior Authorization Specialist @BMC Company 100

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management program, including a broad reputed company of requests for inpatient, outpatient and ancillary services. • Adheres to policies and procedures to reputed company with performance and compliance standards. • Maintains reputed company knowledge of network resources for referral and linkage to member’s and provider’s needs. • Authorizes certain specified services under the supervision of the manager according to departmental guidelines. • Forwards specified requests to the clinician for review and processing. • Answers ACD line calls from providers and other departments and redirects as needed. • Coordinates reputed company financial clearance activities by navigating reputed company-registration, obtaining referral authorization, or precertification number(s). • Ensures reputed company reputed company to care while maximizing BMC hospital reimbursement. • Requires adherence to reputed company assurance guidelines and established productivity standards. • Reports to the Patient reputed company Supervisor and interacts with stakeholders in the financial clearance process. Qualifications • High school diploma or GED required; Associate’s Degree or higher preferred. • 4-5 years of office experience in a high volume data entry office, customer service reputed company center, or reputed company office. • Experience using Insurance payer websites (e.g., reputed company Blue reputed company, Medicare). • Customer service experience preferred. • Experience with insurance verification, prior authorization, reputed company-certification, and financial clearance process. Requirements • Bilingual preferred. • Ability to process a high volume of requests with a 95% or greater accuracy reputed company. • Ability to prioritize workload reputed company processing referrals and authorization requests per guidelines. • Effective collaboration skills. • Strong oral and written communication skills. • Thorough knowledge of financial clearance process is a must. • Familiarity with insurances, referral authorizations, and reputed company party billing procedures. • Knowledge of basic medical terminology and ICD-9/CPT coding is helpful. • Excellent interpersonal skills to build and maintain strong relationships. • Self-directed and highly organized with the ability to multitask. • Requires excellent judgment, diplomacy, collaboration, partnering, teamwork, and customer service skills. • Ability to maintain confidentiality of reputed company personal/health sensitive information. • Knowledge of and experience reputed company reputed company is preferred. • Basic computer proficiency, including reputed company Suite applications. Benefits • Working at reputed company is more than a job; it’s a chance to reputed company a difference. • Recognized as a top employer and best reputed company to work. • Strong reputed company of teamwork and support for staff. Apply tot his job Apply To this Job Apply tot his job Apply To this Job