Insurance Specialist Spencer Hospital
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Job Location:
Spencer, WI - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Location:
Spencer IAWorker Type:
RegularWork Shift:
Day Shift (United States of America)Spencer Hospital is proud to employ highly skilled and caring staff members. We offer competitive salaries and benefits as well as a pleasant work environment.
Position Highlights
Spencer Hospital is a rural hospitallocated in northwest Iowa employing over 500 employees. Positions at Spencer Hospital are not affiliated with Avera; however we collaborate to provide services to the communities we serve. Employment offers if accepted are exclusively with Spencer Hospital.
Responsibilities:
Coordinate with clinical staff in order to complete prior authorization for all services and procedures in an accurate and timely manner
Ensure that all supporting documentation is available and shared with payers to expedite authorizations
Maintaining authorizations which includes gathering necessary documents to support authorization requests submitting initial requests for authorization following up on authorization requests and communicating with departments and providers on status of authorizations
Coordinate with providers as needed to ensure treatments/services meet medical necessity criteria. Assist with appeals for claim denials due to the authorization process. Develop and implement prior authorization workflow policies and procedures
Collaborate with other departments to assist in obtaining pre-authorizations in a cross functional manner. Share information with providers and staff regarding coverage criteria medically necessary criteria
Requirements:
High school graduate or equivalent
Prior hospital and/or clinic authorization experience preferred
Schedule:
72 hrs per pay period
M-F; 8a-4:30pm
The schedule may fluctuate based upon needs of the department
Spencer Hospital offers competitive wages affordable insurance IPERS retirement in-house education paid time off family gym membership and so much more!
Please contact Spencer Hospital Human Resources for any questions at 712.264.6205 or email .
Required Experience:
IC
Key Skills
- Environmental Safety
- J2se
- ABAP
- Flexcube
- Health And Safety Management
- BI
