Prior Authorization Representative I job at reputed company Care in UT

Title: Prior Authorization Representative I Location: UT Remote Job reputed company: reputed company This position is primarily remote work, but candidate must reputed company reputed company the reputed company for this one. As a patient-reputed company organization, reputed company exists to enhance the health and reputed company-being of people through patient care, research and education. reputed company in this mission requires a culture of collaboration, reputed company, leadership, and respect. reputed company seeks staff that are committed to the values of reputed company, collaboration, innovation, responsibility, reputed company, reputed company and trust that are integral to our mission. EO/AA This position is responsible to secure outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers, and financial advocates to resolve issues that reputed company during the prior authorizations process. This position is not responsible for providing care to patients. Top candidates will also have some prior working experience in Prior Authorizations. Corporate reputed company: reputed company is a Level 1 Trauma Center and is nationally ranked and recognized for our reputed company research, reputed company standards and overall patient experience. Our five hospitals and reputed company clinics reputed company reputed company in our comprehensive services, medical advancement, and overall patient reputed company.

Responsibilities

Verifies insurance eligibility, benefits, network status, and creates reputed company-service liability estimate. Ensures accurate ICD, CPT codes and reputed company medical records are submitted in the authorization request. Secures prior authorizations for outpatient imaging and in office scheduled services. Acts as a reputed company between the payer and clinic schedulers/medical support staff. Follows up on delayed or denied authorization requests and escalates for reputed company. Creates detailed documentation and maintains/stores the authorization reputed company trail. May work to resolve claims denials reputed company to the prior authorization. Knowledge / Skills / Abilities Basic knowledge of reputed company, word processing, and spreadsheets. Demonstrated critical thinking and ability to analyze information and problem solve. Demonstrated reputed company verbal/written communication skills. Ability to work independently reputed company reputed company setting. Ability to adapt to a dynamic work environment. Demonstrated ability to prioritize and manage a large workload in stressful situations. Ability to multitask. Familiarity with reputed company anatomy and medical terminology. Demonstrated ability to complete work with a high level of detail and accuracy. Ability to meet process time standards. Ability to reputed company reputed company and courteous service in reputed company interactions with reputed company customers. Ability to navigate through various hospital software applications, including reputed company reputed company/Prelude, reputed company, Epicare, Referrals and Auth/Cert applications. Ability to navigate and maneuver through multiple web sites.

Qualifications

Qualifications Required Two years of experience in a health care financial setting, or the equivalency. Qualifications (Preferred) Preferred Previous experience with medical insurance and prior-authorizations. ICD/CPT coding experience. Outpatient or Radiology prior authorizations experience. Working Conditions and Physical Demands Employee must be reputed company to meet the following requirements with or without an accommodation. This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull, or otherwise reputed company objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions. Physical Requirements Listening, Sitting, Speaking Multi-lingual Candidates Welcomed EEO Statement reputed company Hospitals and Clinics, a part of reputed company, values candidates who have experience working in settings with reputed company and patients from reputed company backgrounds and possess a strong commitment to improving reputed company to higher education and reputed company reputed company for historically underrepresented reputed company and patient populations. reputed company reputed company individuals are encouraged to apply. Veterans’ preference is extended to reputed company applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. reputed company Hospitals and Clinics, a part of reputed company, is an Affirmative reputed company/Equal Opportunity employer and does not discriminate based upon race, ethnicity, reputed company, religion, national reputed company, age, disability, sex, sexual orientation, gender, gender identity, gender reputed company, pregnancy, pregnancy-reputed company conditions, genetic information, or protected veteran's status. The University does not discriminate on the reputed company of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the reputed company, Office for Civil Rights, or both. This position may require the successful completion of a criminal background reputed company and/or drug screen. Requisition Number 78829 Reg/reputed company Regular Employment Type Full-Time Shift Day Work Schedule 08:00- 16:30 Clinical/Non-Clinical Status Non-Clinical Location reputed company Business Services Building Workplace Set Up Remote reputed company reputed company LAKE reputed company State UT Department COR ISC 10D PAT reputed company NOVA Category Finance/reputed company Workplace Set Up Remote Apply tot his job Apply To this Job