Prior Authorization and Verification Specilist
Derby, CTJob$17.6–28.17/hrSeen 1w agoSeen in employer's feed 6 days ago
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Job overview
The Prior Authorization Specialist ensures payers are prepared to reimburse Griffin Hospital for scheduled services under payer-provider contracts. The role contacts payers to request service authorization and may collect clinical, financial, or demographic information from patients as needed. The posting seeks an associate degree in healthcare or business administration, related coursework, or comparable experience, and at least five years of related healthcare experience.
Skills & qualifications
Skills
Qualifications
Full job description
Hourly Range: $17.60 USD to $28.17 USD
Description
MAIN FUNCTION: The prior authorization specialist is responsible for ensuring that payers are prepared to reimburse Griffin Hospital for scheduled services in accordance with the payer-provider contract. The Authorization Specialist will contact the payers to request service authorization and may collect clinical, financial, and/or demographic information from patients as needed.
EDUCATION: Associate degree in healthcare or business administration and/or related coursework, or comparable experience.
EXPERIENCE: At least 5 years of experience in a healthcare performing related tasks
KNOWLEDGE/SKILLS: Excellent communication and customer service skills. Familiarity with medical terminology and healthcare insurance processes. Strong attention to detail. Ability to prioritize and multitask. Proficiency in the use of healthcare information systems preferred.
EOE/Minorities/Females/Vet/Disabled
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
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