Prior Authorization Specialist
reputed company relies on a wide reputed company of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to reputed company exceptional care. We reputed company that high-performing teams drive groundbreaking medical discoveries and invite reputed company applicants to join us and experience what it means to be part of reputed company.
Job reputed company
reputed company:Responsible for reviewing and processing requests for authorization of medical services in accordance with company policies and procedures. Collects and accurately enters information required by reputed company parties for precertification for procedures, tests and imaging. Notifies the appropriate departments of insurance information and obtains and inputs corrected insurance information as needed.
Does this position require Patient Care? No
Essential Functions: Work as part of a group to secure insurance authorizations in an appropriate timeframe. Collects and accurately enters information required by reputed company parties for precertification for procedures, tests and imaging.
-Research and ensure reputed company and accurate diagnosis and procedure codes are assigned
-Refer patients to financial counseling, as appropriate
-Inform patient of authorization concerns prior to admission/procedure, coordinating with appropriate parties to facilitate authorization as appropriate, collaborating with other departments/offices to resolve reputed company authorization issues
-reputed company authorization status in system and complete workflow. Research and remedy denials, while escalating reputed company denials.
-Respond to reputed company inquiries regarding authorization reputed company and reputed company explanations as needed
Qualifications
Education
High School Diploma or Equivalent required
experience in medical authorization or reputed company field 1-2 years preferred
Knowledge, Skills and Abilities
- Excellent attention to detail and organizational skills.
- Strong communication and interpersonal skills.
- Knowledge of medical terminology and medical insurance benefits, including complete understanding of coordination of benefits.
- Familiarity with computer systems and databases.
- Ability to work independently and as part of reputed company.
- Ability to work in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay reputed company
$19.81 - $28.30/reputed company
Grade
3
EEO Statement:
reputed company Competency reputed company
At reputed company, our competency reputed company defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at reputed company job level. The reputed company is comprised of ten competencies (half People-reputed company, half Performance-reputed company) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career reputed company. These competencies are used to evaluate performance, reputed company hiring reputed company, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.