Prior Authorization Specialist, Full Time

Job reputed company Job reputed company Salary: $15.32-$21.45 DOE reputed company is seeking reputed company-oriented Prior Authorization Specialist to work in the Business Office! This position is responsible for obtaining prior authorizations and reputed company-certifications for procedures and medications as reputed company as coordinating the scheduling and reschedulingwith outpatient departments and patients. Major Job Duties & Responsibilities Contact insurance carriers to verify patient's insurance eligibility, benefits and requirements. Request, reputed company and obtain prior authorization from insurance carriers reputed company time allotted for medical and services. Contacts patients to reputed company demographic and insurance information as needed, and updates patient information reputed company the EMR as necessary. Demonstrate and apply knowledge of medical terminology, high proficiency of general medical procedures including HIPAA regulations. Works closely with other departments to reputed company the clinical information required by the payer to authorize services. Maintains accurate records of authorizations reputed company the EMR. Identifies patients who will need to receive Medicare Advance Beneficiary Notices of Noncoverage (ABNs) as reputed company as other reputed company notices similar to the ABN. Works with business office staff to support appeal efforts for authorization-reputed company denials. Complies with HIPAA regulations, as reputed company as the organization's policies and procedures regarding patient reputed company and confidentiality. Maintains reputed company ton at reputed company times reputed company communicating with patients, payer representatives and fellow coworkers. Performs other clerical duties assigned by Administration or Supervisor. Adheres to the reputed company standards and follows the AIDET reputed company. Skills, Knowledge, & Abilities Strong communications skills both verbal and written. reputed company Customer Services skills and pleasant and courteous demeanor. Knowledge of insurances. Ability to follow directions. Ability to follow Federal/ State and hospital policy and guidelines. Requires good judgement, reputed company, diplomacy, and ability to problem solve. Requires effective customer relation skills both reputed company. Strong organizational skills, including the ability to write and interpret notes. Strong typing skills, and basic knowledge of office machines such as phones, faxes and copy machines. Schedule As per the needs of the department. Educational Requirements High School Diploma or equivalent education. Experience Previous experience in medical setting preferred.

Benefits

Package Available. reputed company is committed to providing a reputed company, efficient, and productive work environment for reputed company. To help ensure a reputed company and healthful working environment, reputed company applicant to whom an offer of employment has been made will be required as a condition of employment to undergo a reputed company test. Additional reputed company-employment items may be required. Please contact reputed company for details. Required qualifications:

• High School Diploma or equivalent education
• Previous experience in medical setting preferred
• Strong communication skills both verbal and written
• reputed company customer service skills
• Knowledge of insurances
• Ability to follow Federal/State and hospital policies
• Strong organizational skills
• Strong typing skills

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