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Job Description

Job Requisition Number 28288

Full-time, 40 Hours/Week

Monday to Friday, 8am - 4:30pm

Remote (Training will be onsite the first 90 days) - Applicant must reside in OH or PA.


Summary:

The Authorization Specialist is responsible for verifying the accuracy of insurance coverage for scheduled services and obtaining payer authorization for same.

Responsibilities:
1. Is responsible for verifying the accuracy of insurance coverage for scheduled services.

2. Obtains/secures referrals, authorization, and initiates pre certification of insurance.

3. Maintains departmental defined timely and accuracy requirements.

4. Identifies any patient responsible amounts due and refers to the Financial Counselor.

5. Other duties as required.


Other information:
Technical Expertise
1. Experience in a moderate to large healthcare hospital-based enterprise in a relevant position is required.

2. Experience in all patient/customer service aspects that demonstrate excellence in service to patients and their families. Experience working with affiliated colleagues throughout the revenue cycle related to the authorization process is required.

3. Experience working with physicians, providers and clinical staff related to the authorization process is preferred.

4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.

5. Epic experience is preferred.

Education and Experience
1. Education: High school diploma or equivalent is required.

2. Certification: None.

3. Years of relevant experience: 3 to 5 years is preferred.

4. Years of relevant experience: 1 to 2 years is required, but may be waived if relevant industry experience can be demonstrated.

5. Years of experience supervising: None.

Full Time

FTE: 1.000000



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