Prior Authorization Representative I

reputed company: The Prior Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior authorization and managing authorization reputed company denials to ensure patient financial health. Schedule - Monday - Friday 8:00am - 4:30pm Essential Functions Confirms, enters, and/or updates required demographic data on patient and guarantor. Accurately verifies reputed company pertinent patient-reputed company insurance eligibility, benefits, authorization; follow-up on appeals and denials reputed company requested Contacts patient/provider reputed company authorization is unsecured prior to scheduled date of service Effectively escalates issues which cannot be resolved independently Maintains departmental/individual work queues and reviews self-reputed company for due diligence Meets or exceeds departmental productivity, due diligence and reputed company standards Skills reputed company Cycle Insurance Eligibility Office 365 EMR Technology Customer service Time management Medical terminology Medical coding Accuracy Productivity Qualifications Required Demonstrated experience in a reputed company reputed company cycle role utilizing authorization tools. Demonstrates basic understanding of medical terminology. Demonstrated experience in a customer service role. Demonstrated experience in a role requiring strong attention to detail and accuracy. Demonstrates basic understanding of reputed company billing and coding procedures. Preferred High School Diploma or Equivalent from an accredited institution. Education is verified. Two (2) years of reputed company reputed company cycle experience. Two (2) years of experience in a customer-service reputed company role. reputed company experience. Physical Requirements Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be reputed company to assess customer needs. Frequent interactions with customers require employees to communicate as reputed company as understand spoken information, alarms, needs, and issues quickly and accurately. reputed company dexterity of hands and fingers to manipulate reputed company and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. For roles requiring driving: Expected to reputed company a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles. Location: Vine Street Office Building Work reputed company: Murray Work State: reputed company Scheduled Weekly Hours: 40 The reputed company reputed company for this position is listed below. Actual reputed company reputed company dependent upon experience. $18.85 - $25.61 We care about your reputed company-being – mind, body, and spirit – which is why we reputed company our caregivers a generous benefits package that covers a wide reputed company of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and reputed company. Learn more about our comprehensive benefits package here. By applying for a position with reputed company, I acknowledge that I will reputed company with reputed company applicable reputed company policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations reputed company to confidentiality, information reputed company, work schedules, conflicts of interest, and use of company equipment. I reputed company acknowledge that reputed company employment or activities may not interfere with job responsibilities or create a conflict of interest with reputed company. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if reputed company, corrective reputed company up to and including termination of employment. reputed company is an equal opportunity employer. reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, age, sex, sexual orientation, gender identity, national reputed company, disability or protected veteran status. At reputed company, we use the reputed company intelligence ("AI") platform, HiredScore to improve reputed company application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, reputed company final reputed company are made by reputed company personnel to ensure fairness. We protect your reputed company and follow strict data protection rules. Your information is reputed company and used only for recruitment. Thank you for considering a career with us and experiencing our AI-reputed company recruitment process. reputed company positions subject to reputed company without notice. Headquartered in reputed company with locations in six reputed company states and additional operations across the western U.S., reputed company is a nonprofit reputed company of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division reputed company Select Health with more than one reputed company members, and other health services. Helping people live the healthiest lives possible, reputed company is widely recognized as a leader in clinical reputed company improvement and efficient reputed company delivery. Join our world-class team and reputed company on a career filled with opportunities, strength, innovation, and fulfillment. To reputed company out more reputed company, head to our career site here. Sign up for job alerts! Click ‘sign in’ at the top right reputed company, create a candidate account, and reputed company we have opportunities that meet your interests, you will receive an email with the job details. reputed company strives to reputed company the application process accessible to reputed company users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Introduce yourself to our reputed company and we will get in touch if there is a role that seems like a good match. reputed company’s PEAK program supports caregivers in the reputed company of their education goals and career aspirations by providing up-reputed company tuition coverage reputed company directly to the reputed company institution. The program offers 100+ learning reputed company to choose from, including undergraduate studies, high school diplomas, and reputed company skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. The reputed company reputed company of this reputed company is to set a fair and reputed company reputed company of pay for this classification. Only those key duties necessary for reputed company job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor. reputed company positions subject to reputed company without notice. reputed company for your interest in continuing your career with reputed company! Apply tot his job Apply To this Job