Um Prior Auth Specialist
Um Prior Auth Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Summary
- POSITION INFORMATION
- Position summary:
- Integral member of the Utilization Management (UM) team. Supports UM processes through accurate and timely notification of admission and communication of clinical review information to insurance companies. Strong clear and effective communication excellent customer service organization time management and computer skills are imperative in this role. Collaborates and coordinates with members of the UM and Revenue Cycle teams to ensure timely and efficient delivery of required workflow services and tasks to result in:
- Support of positive patient health care outcomes
- Increased patient/health care team outcomes and satisfaction
- Improved communication awareness and adherence to regulatory requirements associated with utilization
- Support for appropriate level of care and decreased inpatient bed day denials
- Appropriate and timely authorization for level of care
- Decreased denials
- Appropriate reimbursement
- MINIMUM QUALIFICATIONS
- Education:
- High School Graduate or Equivalent.
Required length and type of experience:- At least two 2 years of administrative/office/clinical support/managed care or utilization management healthcare experience.Prefer experience with managing insurance authorizations and interaction with payers.Medical Terminology preferPrefer experience with ICD 10
Required licensure certification or registry:- None
Required Experience:
Unclear Seniority
Employment Type
Full-Time
