Prior Authorization Specialist

https://www.livebinders.com/b/3569203?tabid=e064e311-c59c-4e25-04cd-f8051ba650ba

What You Should Know About the Prior Authorization Specialist:

• Monday- Friday: Typical hours 8:00 a.m. - 4:30 p.m. 
• This position is based within Jefferson Regional Patient Access Department 

Job Summary:

The Prior Authorization Specialist primarily focuses on insurance eligibility and verification, obtaining prior authorizations, and checking medical necessity. This position works closely with physician offices and scheduling team. They will deal with a diverse group of physicians, patients, clinics and payers.

Prior Authorization Specialist Qualifications:

• High School diploma or equivalent required. 
• Associate’s Degree in Healthcare Administration, medical coding/billing, or other related field preferred.

• Minimum Requirements:
  1. Minimum 2 years of experience with hospital insurance eligibility and verification.
  2. Must be able to communicate well and able to multi-task and have excellent time management skills.
  3. Strong knowledge on insurance plans, benefits, and prior authorization process.
  4. Ability to work independently and manage multiple tasks simultaneously
  5. Strong attention to detail and organization skills
  6. Ability to handle sensitive information with confidentiality and professionalism
• Preferred Requirements:
  1. ICD10 and CPT coding experience preferred.
  2. Knowledge of medical terminology and experience with coverage guidelines for government and commercial payers preferred.
  3. Excellent communication and interpersonal skills is a plus.

Benefits & Perks: your health and happiness matters! We offer:

• Competitive Health, Dental, and Vision Insurance
• Short- & Long-Term Disability
• Life Insurance
• Paid Time Off
• Matching Retirement Plans
• Tuition Reimbursement
• Career growth
• And much, much, more!

Jefferson Regional complies with applicable Federal Civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.