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Job Description
- Req#: JR22468
Employer Industry: Healthcare
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 comprehensive onboarding
- Work hours are Monday to Friday from 8:30 AM to 5 PM, providing a consistent schedule
- Collaborative work environment with a focus on teamwork and exceptional customer service
- Engaging role that directly impacts patient care and financial processes
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 and authorization actions
- Evaluate physician orders for medical necessity and communicate with clinical staff as needed
- Review clinical documentation for compliance with payer guidelines and submit authorizations
- Coordinate with patients, referring physicians, and other healthcare professionals to obtain necessary information
What is Required (Qualifications):
- High School Diploma or GED
- Minimum of 2 years of benefits verification or authorization experience, or 3 years of pre-registration experience
- Basic healthcare knowledge and familiarity with insurance terminology and billing processes
- Proven keyboard skills with the ability to type 75 WPM
- Excellent oral and verbal communication skills, with the ability to interact effectively with various stakeholders
How to Stand Out (Preferred Qualifications):
- Post-secondary education may substitute for 2 years of experience
- Experience navigating insurance websites for patient eligibility and payment information
- Strong organizational skills with attention to detail in handling multiple tasks
#Healthcare #AuthorizationSpecialist #PatientCare #InsuranceVerification #CareerGrowth
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