• Job Description

  Req#: JR22468
  Employer Industry: Healthcare Services
  
  Why consider this job opportunity:
  - Opportunity for career advancement and growth within the organization
  - In-person training provided for the first 3-6 months to ensure success in the role
  - Supportive and collaborative work environment with a focus on teamwork
  - Chance to make a positive impact on patient care and experience
  - Regular work schedule: Monday to Friday, 8:30 AM to 5:00 PM
  
  What to Expect (Job Responsibilities):
  - Ensure accuracy of insurance information and obtain prior authorization for non-oncology and oncology infusions
  - Monitor patient referrals and denials to determine necessary pre-registration, verification, and authorization
  - Evaluate physician orders for medical necessity and communicate with providers for order revisions
  - Review clinical documentation to support authorization and precertification according to payer guidelines
  - Document pertinent information and efforts in the computer system based on department standards
  
  What is Required (Qualifications):
  - Minimum educational requirement: High School Diploma or GED
  - At least 2 years of benefits verification or authorization experience, or 3 years of pre-registration experience
  - Basic healthcare knowledge and understanding of insurance terminology
  - Proven keyboard skills with the ability to type 75 WPM
  - Excellent oral and verbal communication skills
  
  How to Stand Out (Preferred Qualifications):
  - Experience navigating insurance websites to access patient eligibility and payment information
  - Ability to organize and prioritize work effectively
  - Familiarity with Current Procedural Terminology (CPT) and diagnosis coding
  
  #HealthcareServices #AuthorizationSpecialist #CareerOpportunity #PatientCare #HealthcareJobs
  
  We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
  We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

• About the company

  From premature newborns to end-of-life care to all medical needs in between. Find a physician or service offered by Saint Francis in a location near you.

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