PSC reputed company Auth Rep- Remote

About the position 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.

Responsibilities

• 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.

Requirements

• Minimum typing skills of 35 wpm
• Demonstrated working knowledge of software/system/equipment
• 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
• Ability to multi-task and manage time effectively
• High School Diploma or GED required
• 2-4 years experience in medical facility, health insurance, or reputed company area
• 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
• 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
• 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.

reputed company-to-haves

• Knowledge of function and relationships reputed company a hospital / physician office environment preferred
• Knowledge of Medical Terminology preferred
• Advanced understanding of reputed company-party payer requirements preferred
• Advanced understanding of reputed company compliance standards preferred
• Some college coursework is preferred

Benefits

• 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, legal 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.

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