Insurance Verifier Supervisor - NHDC
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At a glance
Requirements
Credentials this posting asks for.
Job overview
Northside Hospital is hiring an Insurance Verifier Supervisor - NHDC. The Insurance Verifier Supervisor at Northside Hospital oversees prior authorization, central scheduling, and insurance verification teams. This role acts as a liaison between clinical staff, physicians, ancillary departments, and the scheduling/authorization/verification staff. The supervisor works directly with physicians and nursing staff to obtain drug orders requiring prior authorization and coordinates with the prior authorization team. They also serve as a liaison for NGDC with outsourced vendors for prior authorizations.
Key focus areas include Supervise prior authorization, central scheduling, and insurance verification team in workflow, Act as a liaison between clinical staff, physicians, ancillary departments, and central scheduling / prior authorization / insurance verification staff, and Work directly with physicians and nursing staff in obtaining orders for drugs that need prior authorizations.
Successful candidates bring Insurance Knowledge Or Associates Degree, Medical Terminology And Drug Authorization Knowledge, and Ability To Work Independently. Important skills include Insurance Industry Knowledge, Billing Procedures And Guidelines, Medical Terminology, Medications For Rheumatology And Oncology, Obtaining Drug Authorizations, and Work Independently.
Skills & qualifications
Skills
Qualifications
Full job description
Overview Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Responsibilities Responsible for supervising prior authorization, central scheduling, and insurance verification team in workflow. Responsible for being a liaison between clinical staff, physicians, ancillary departments, and the central scheduling / prior authorization / insurance verification staff. This position will work directly with physicians and nursing staff in obtaining orders for drugs that need prior authorizations and work with prior authorization team members to be sure the order goes to the correct person. This person will also be the liaison for NGDC with any outsourced vendors concerning prior authorizations.
Qualifications
- Knowledge of insurance industry and billing procedures and guidelines.
OR
Associates Degree in Business or related field
2. Knowledge of medical terminology, medications for Rheumatology and Oncology, and experience in obtaining drug authorizations is crucial. Familiarity with a variety of the field's concepts, practices, and procedures.
3. Ability to work independently.
4. Good oral and written communication skills; knowledge of grammar, spelling, and punctuation to type proper correspondence. Skill in using computer programs and applications. Skill in typing a minimum of 40 wpm.
5. Demonstrated knowledge of personal computers and computer spreadsheet programs.
Work Hours: 8a-5p Weekend Requirements: No On-Call Requirements: No
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