Prior Authorization Specialist I
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Job Location:
Norwalk, CA - USA
Monthly Salary:
Not Disclosed
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
Caring For the Community You Love
Choose a career to make a difference in peoples lives every day choose Fisher-Titus!
Perks of working at Fisher-Titus:
- Hours of Work- Full time
- Comprehensive Benefits Package- Medical & Dental coverage 401K match paid time off tuition assistance and more!
- Shift Weekend & PRN differential
About Fisher-Titus:
Fisher-Titus proudly serves the greater Huron County areas 70000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab imaging and physical rehabilitation.
Vision: Be the first choice for healthcare and employment within our community
Mission: Deliver compassionate and convenient care to the highest level of excellence that promotes lifelong health and wellness for our community
General Summary:
The Prior Authorization Specialist I is responsible for ensuring that payers are prepared to reimburse Fisher-Titus for services in accordance with the payer-provided contract. The Specialist contacts payers to request service authorization and may collect financial and/or demographic information from patients as needed.
Essential Functions:
- Verifies patients insurance and benefits information
- Obtains prior authorization from third-party payers in accordance with payer requirements
- Will contacts patients to gather demographic and insurance information as needed and updates patient information within the EMR as necessary
- Works with other departments to gather the clinical information required by the payer to authorize services
- Maintains accurate records of authorizations within the EMR
- Identifies patients who will need to receive Medicare Advance Beneficiary Notices of Noncoverage (ABNs)
- Refers accounts to financial counseling as needed if authorization is not obtained
- Works directly with and supports the needs of the Denial/Appeals committee.
- Complies with HIPAA regulations as well as the organizations policies and procedures regarding patient privacy and confidentiality
- Continually maintains professional tone when communicating with patients and payer representatives
- Performs other clerical duties as requested
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Our Fisher-Titus health system proudly serves the greater Huron County area’s 70,000-plus residents by providing a full continuum of health and wellness care.
