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Patient Service Specialist Prior Authorizations Mercy Health
PayCompetitive
LocationCincinnati/Ohio
Employment typeFull-Time
This job is now closed
Job Description
- Req#: R207871
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Comprehensive, affordable medical, dental, and vision plans
- Prescription drug coverage
- Flexible spending accounts
- Life insurance with AD&D
- Employer contributions to retirement savings plan when eligible
- Paid time off and educational assistance
What to Expect (Job Responsibilities):
- Obtain pre-certification/authorization for services, acting as the primary liaison with patients, physicians, and hospitals
- Initiate the insurance verification and pre-authorization process by contacting insurance carriers
- Collaborate with providers to pre-certify procedures and assist with denial and appeal processes
- Communicate customer service issues and process improvement opportunities to management and providers
- Maintain stable performance under pressure while fostering relationships with patients, customers, and co-workers
What is Required (Qualifications):
- Minimum educational requirement: High school diploma or GED
- At least two years of prior authorization experience in a similar healthcare role
- Ability to work collaboratively with others for effective information flow
- Strong communication skills to address potential issues proactively
- Capability to maintain performance under stress
How to Stand Out (Preferred Qualifications):
- Experience in a healthcare administrative role
- Familiarity with insurance verification processes
- Skills in customer service and patient interaction
- Knowledge of healthcare regulations and compliance
- Additional certifications related to healthcare administration
#HealthcareServices #PatientCare #Authorization #CareerOpportunity #EmployeeBenefits
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