• Job Description

  Req#: oAVGsfwn?nl=1
  Who We Are
  
  Valley Health System is a not-for-profit network of hospitals, urgent cares, physician practices, and services. Expanding across Virginia, West Virginia, and Maryland, we are devoted to the health of all who call our 18-county area home.
  
  A vital resource for healthcare, we are the regionu2019s largest employer, a dependable community partner, and are at the leading edge of clinical innovations.
  
  We are looking for passionate, innovative, and caring people who will each bring their unique skills and perspectives to our workplace.
  
  What You Will Do:
  
  The Authorization Specialist is responsible for the verification of insurance eligibility, management of insurance authorizations for patients, and scheduling/administrative responsibilities.
  nnResponsibilities and Duties
  nnProvides office support by answering phones in a timely fashion, greeting patients, visitors and vendors responding to inquiries, complaints, concerns and requests transmitting information to appropriate staff members as necessary.
  nnNotifies appropriate office staff and patient of insurance benefits, criteria and coverage.
  nnPrepares records for medical record requests.
  nEnsures that all initial consult paperwork has been done.
  nnContacts patients prior to initial evaluation and conducts patient appointment reminders by telephone.
  nnInforms Physician of daily changes in schedule.
  nnFacilitates any physician request through the day, i.e., referring patients to another practice, paging any physician requested by the physician in office.
  nnSchedules and completes testing order forms for patients and faxes the forms to the appropriate departments. Assists in requesting copies of tests, surgeries, or office notes to be placed in patients' chart. Prepares referral letters and reports.
  nnCalls patient if insurance will not allow extended referral authorization; informs patient of financial obligations or reschedules.
  nnIn the absence of Patient Service Representative, greets patients, schedules appointments for patients and vendors, prepares daily transaction sheets for office manager to review and make bank deposits.
  nnMaintains confidentiality and security of all information contained in the medical records in accordance with HIPAA.
  
  What You Will Bring:
  
  Education
  High School Diploma or GED requiredn
  
  Experience
  Basic knowledge keyboarding and Microsoft Office required
  nMinimum 1 year of experience required
  nPrevious physician office experience required
  
  
  Qualifications
  Must demonstrate patience and good judgement.
  nMust have excellent grammar, effective communication skills, and present a professional image.
  nMust have working knowledge of health insurance and be comfortable with navigating coverage sites.
  nKnowledge of EMR system preferred.
  
  What You Will Get:
  
  nAt Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:
  nu2022 A Zero-Deductible Health Plan
  nu2022 Dental and vision insurance
  nu2022 Generous Paid Time Off
  nu2022 Tuition Assistance
  nu2022 Retirement Savings Match
  nu2022 A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
  nu2022 Membership to Healthy U: An Incentive-Based Wellness Program
  
  nValley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.
  
  nnTo see the full scale of what we offer, visit valleyhealthbenefits.com.
  
  nnExclusions apply
  
  nnnWe celebrate, support, and thrive on our differences for the benefit of our employees, our patients, and the communities we serve.
  nWe are neighbors caring for neighbors, and our goal is always to help those we serve get well, feel well, and stay well.
  
  nnEOE
  
  nCriminal Background Checks
  VA State Police and/or WV State Background and Fingerprinting (WV Cares) (applicable state)
  3rd party Background Check
  
  FLSA Classification
  Non-exempt
  
  Grade
  108
  
  Physical Demands
  6 A Customer Service

• About the company

  Valley Health is committed to making Virginia & West Virginia healthier, together.

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