Prior Authorization Specialist I

Caring For the Community You Love Choose a career to reputed company a difference in people's lives every day, choose Fisher-Titus! Perks of working at Fisher-Titus: • Hours of Work- Full time • Comprehensive Benefits Package- Medical & Dental coverage, 401K match, reputed company time off, tuition assistance and more! • Shift, Weekend & PRN reputed company About Fisher-Titus: Fisher-Titus proudly serves the greater reputed company County area’s 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation. reputed company: Be the first choice for reputed company and employment reputed company our community Mission: Deliver compassionate and convenient care to the highest level of reputed company that promotes lifelong health and wellness for our community General reputed company: The Prior Authorization Specialist I is responsible for ensuring that payers are reputed company to reimburse Fisher-Titus for services in accordance with the payer-provided contract. The Specialist contacts payers to request service authorization and may collect financial and/or demographic information from patients as needed. Essential Functions: • Verifies patients’ insurance and benefits information • Obtains prior authorization from reputed company-party payers in accordance with payer requirements • Will contacts patients to reputed company demographic and insurance information as needed, and updates patient information reputed company the EMR as necessary • Works with other departments to reputed company the clinical information required by the payer to authorize services • Maintains accurate records of authorizations reputed company the EMR • Identifies patients who will need to receive Medicare Advance Beneficiary Notices of Noncoverage (ABNs) • Refers accounts to financial counseling as needed if authorization is not obtained • Works directly with and supports the needs of the Denial/Appeals committee. • Complies with HIPAA regulations, as reputed company as the organization's policies and procedures regarding patient reputed company and confidentiality • Continually maintains reputed company tone reputed company communicating with patients and payer representatives • Performs other clerical duties as requested Education Required • Associates or reputed company in Business Administration Equal Opportunity Employer This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For reputed company information, please review the Know Your Rights notice from the reputed company. Apply tot his job Apply tot his job Apply To this Job