Prior Authorization Specialist Job at Autumn Healthcare
Prior Authorization Specialist - Great Opportunity!
Great office enviroment: Pikesville, MD
Position Summary: This position is responsible for obtaining pre-authorizations for inpatient subacute rehab services for
Maryland's largest skilled nursing facility network.
Prior Authorization Specialist -
Position Requirements:
Licensure/Certification/Registration: None
Education: High School Diploma
Experience: Previous experience in a clinic setting preferred.
Knowledge/Skills/Abilities: Must have excellent verbal and written communication skills. Requires effective customer relation skills, ability to organize and interpret data. Requires good judgment, tact, diplomacy, and ability to problem solve. Able to work effectively in a team environment. Able to use a personal computer and related software.
Prior Authorization Specialist - Job Responsibilities:
Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.
Request, track and obtain
pre-authorization from insurance carriers within time allotted for medical and services.
Request, follow up and secure
prior-authorizations prior to services being performed.
Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
Communicate any insurance changes or trends among team.
Maintains a level of productivity suitable for the department.
Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.
Other duties as assigned.
HP
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