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Prior Authorization Specialist - hybrid after onsite training! - Full Time 8am-4
Concord, MA
Job Description
Prior Authorization Specialist - hybrid after onsite training! - Full Time 8am-4:30pm
Job Ref: 29384
Category: Clerical & Administrative Support
Location:
Department: Patient Access
Schedule: Full Time
Shift: Day shift
Hours: 8:00-4:30
Emerson Hospital is committed as a matter of policy and in accordance with all applicable laws to equal employment opportunity and a work environment free of discrimination or harassment for all employees and qualified applicants, without regard to race, color, religion, creed, national origin, sex, sexual orientation, age, ancestry, disability or any other characteristic protected by law
Category: Clerical & Administrative Support
Location:
Emerson Hospital,
133 Old Road to Nine Acre Corner,
Concord,
MA 01742
Department: Patient Access
Schedule: Full Time
Shift: Day shift
Hours: 8:00-4:30
Job Summary
Reports to the Direct of Patient Access, the position serves as the hospital`s primary contact for patient reimbursement issues in accordance with established credit policies. The position works with third-party payors for necessary authorizations and verification of coverage issues. The position also provides cashiering services for Emerson Hospital.
Minimum Qualifications
- Education
- High School Diploma or equivalent required.
- Associates Degree preferred.
- Work experience may be substituted for higher education.
- Experience
- One to 3 years as a financial counselor at a hospital and/or authorization coordinator required
and/or
3-5 years full-time admitting experience with insurance knowledge required - Knowledge of insurances, pre certification and referral procedures required
- Knowledge of the Virtual Gateway and Medicaid applications preferred
- Experience in working with patients required
- Experience in working with payers to appeal pre auth denials preferred
- Licensure and/or Certification
- None required
- Skills
- Knowledge of third party payors.
- Knowledge of Medicare billing practices and regulations.
- Insurance verifications experience.
- Computer proficiency.
- Excellent interpersonal skills are required to interact effectively with all organizational levels, with demonstrated organizational skills and ability to work accurately with detailed confidential information.
- Must have the ability to read, write and communicate in English.
- Must be highly organized, cooperative, and able to work well with others.
- Ability to prioritize and perform multiple tasks.
- Thorough understanding of team management concepts.
- Comprehensive knowledge of medical terminology.
- The ability to effectively communicate with external organizations as well as various levels of management required.
Emerson Hospital is committed as a matter of policy and in accordance with all applicable laws to equal employment opportunity and a work environment free of discrimination or harassment for all employees and qualified applicants, without regard to race, color, religion, creed, national origin, sex, sexual orientation, age, ancestry, disability or any other characteristic protected by law
Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Work Hours (i.e. shift)
8:00-4:30
Required Education
High School or Equivalent
Required Experience
1 to 3 years
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