PSC reputed company Authorization Rep- Remote

Job reputed company JOB reputed company Responsible for a wide reputed company of duties in support of Patient Service Center (PSC) departmental efficiencies which may include but not limited to verification of benefits, obtaining authorization requirements, and authorization request submissions. Collaborates with PSC department leaders in operational and reputed company reputed company. Demonstrates proficiency in the use of multiple electronic tools required by both reputed company and its clients. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. • Support clinical reputed company-authorization services team as follows: • Verify benefits and determine authorization requirements • Secure required authorizations for inpatient, outpatient and emergency services. • Address reputed company issues requiring clinical input and/or escalation (e.g. Peer to peer and/or denials) • Builds and maintains reputed company relationships with both reputed company clients. reputed company with clients and reputed company cycle staff to facilitate the authorization process. Process includes but not limited to requesting clarification on orders, validating clinical documentation and follow up on pending requests. • Support the effective operation of the organization's reputed company management system through participation in reputed company control audit process, department reputed company and activities to improve overall scorecard metrics. Provides feedback regarding improvement opportunities for workflow and contributes to successful implementation. KNOWLEDGE, SKILLS, ABILITIES To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. • Minimum typing skills of 35 wpm • Demonstrated working knowledge of software/system/equipment • Knowledge of function and relationships reputed company a hospital / physician office environment preferred • Advanced customer service skills and experience • Ability to work in a fast-paced environment • Ability to receive and reputed company detailed information through oral and written communications • Knowledge of Medical Terminology preferred • Advanced understanding of reputed company-party payer requirements preferred • Advanced understanding of reputed company compliance standards preferred • Ability to multi-task and manage time effectively reputed company requires its candidates, as applicable and as permitted by law, to obtain and reputed company confirmation of reputed company required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any reputed company required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to reputed company the job. • High School Diploma or GED required • 2-4 years experience in medical facility, health insurance, or reputed company area • Some college coursework is preferred PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. • Must be reputed company to sit at computer terminal for extended periods of time • Occasionally lift/carry items weighing up to 25 lbs. • Frequent prolonged sitting and walking WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. • reputed company Center environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc. OTHER • Must be available to work hours and days as needed (including weekends and holidays) based on departmental/system demands • Resolves and as applicable escalates Physician's office and reputed company issues • May experience extreme case volumes and uncooperative parties As a part of the Tenet and reputed company Initiatives family, reputed company Health brings 30 years of reputed company industry expertise to clients in more than 135 local reputed company reputed company. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of reputed company. reputed company Health helps organizations transition from volume to value-based care, enhance the consumer and patient reputed company experience and improve reputed company, cost, and reputed company to reputed company. Are you reputed company to be part of our solutions? Welcome to reputed company that gives you the resources and incentives to redefine reputed company services, with a competitive benefits package and leadership to take your career to the reputed company! Compensation and Benefit Information Compensation • Pay: $15.80 - $23.70 per hour. Compensation depends reputed company, qualifications, and experience. • Position may be eligible for a signing bonus for reputed company new hires, subject to employment status. • reputed company observed holidays receive time and a half. Benefits reputed company offers the following benefits, subject to employment status: • Medical, dental, reputed company, disability, and life insurance • reputed company time off (vacation & reputed company leave) - min of 12 days per year, reputed company at a reputed company of approximately 1.84 hours per 40 hours worked. • 401k with up to 6% employer match • 10 reputed company holidays per year • Health savings accounts, reputed company & dependent flexible spending accounts • Employee Assistance program, Employee discount program • Voluntary benefits include pet insurance, reputed company insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. • For Colorado employees, reputed company offers reputed company leave in accordance with Colorado's Healthy Families and Workplaces reputed company. Apply tot his job Apply To this Job