Insurance & Authorization Specialist
Insurance & Authorization Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Employment Type:
Full timeShift:
Day ShiftDescription:
Position Purpose
This position is responsible for reviewing financial/insurance information obtained to meet State Federal and Third-Party billing requirements to ensure reimbursement for services.
What you will do
Prepare accurate reports and provide departmental summary information that ensures all infusions and testing performed in the department are reviewed and prior auth or predetermination is obtained
Satisfy admission notice requirements for pre-certification/authorization for HMO/commercial payers in order to meet contractual agreements
Edit update and file all new information gathered for each admission
Obtain authorizations and appeal denied claims for related services drugs treatments and supplies
Assist interdepartmental teams in troubleshooting accounts that are being held in A/R due to lack of prior authorization
Minimum Qualifications
High School or equivalent some college experienced preferred
5 years experience - Patient Accounting and/or Financial Counseling. Knowledge of billing regulations helpful
Knowledge of medical terminology and medical insurances
Position Highlights and Benefits
40 Hours per Week - 1st shift (Days)
Great Benefits and Health Insurance Coverage - Starting Day 1
Ministry/Facility Information
Saint Francis Hospitaliscommitted to exceeding the expectations of our patients and families by providing world-class service in a progressive people-centered compassionate health care environment. We are licensed for 617 beds and 65 bassinets are a major teaching hospital and the largest Catholic hospital in New England.
Our Commitment
Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
