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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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      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

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