Fairview Health Services
Authorization Specialist I (REMOTE)
This job is now closed
Job Description
- Req#: 130277
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive pay up to the maximum amount specified in the job description
- Opportunity for career advancement and growth within the organization
- Remote work flexibility
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care and financial outcomes
- Training provided for ongoing professional development
What to Expect (Job Responsibilities):
- Review medical charts and physician orders to determine appropriate coding
- Screen payer policies to ensure medical necessity guidelines are met
- Submit and manage authorization requests per payer guidelines
- Facilitate insurance denial mitigation steps and appeals
- Collaborate with stakeholders to ensure optimal patient outcomes
What is Required (Qualifications):
- Associate degree in business, healthcare, or related field
- 1 year of revenue cycle experience in a healthcare organization
- Knowledge of insurance terminology and computer systems
- Experience with EHR or enterprise software systems
- Understanding of medical terminology and clinical documentation review
How to Stand Out (Preferred Qualifications):
- Referrals and/or prior authorization experience
- Epic software experience
- Advanced knowledge of medical terminology
- Experience in clinical documentation review
#HealthcareServices #RevenueCycleManagement #RemoteWork #CareerGrowth #CompetitivePay
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