• Job Description

  Req#: Req15945
  Employer Industry: Healthcare Services
  
  Why consider this job opportunity:
  - Opportunity for full-time remote work
  - Comprehensive benefits package available
  - Supportive and collaborative work environment
  - Chance to make a meaningful impact in patient care
  - Day shift schedule with 40 hours per week
  - Potential for professional growth and development within the organization
  
  What to Expect (Job Responsibilities):
  - Obtain prior authorizations for facility and professional charges in accordance with departmental protocols
  - Submit CPT and HCPCS codes along with medical records to insurers to expedite authorizations
  - Verify patient demographics and medical information while ensuring HIPAA compliance
  - Track all actions and accurately update patient accounts
  - Communicate effectively with leadership regarding billing concerns and authorization issues
  
  What is Required (Qualifications):
  - Minimum of 2 years of experience in a hospital, specialty clinic, or medical billing setting focused on pre-certifications or prior authorizations
  - Knowledge of commercial and government insurance requirements, ICD-9/CPT codes, and medical terminology
  - Strong verbal and written communication skills in English
  - Proficiency in Microsoft Office and willingness to learn new software
  - Excellent organizational skills and attention to detail
  
  How to Stand Out (Preferred Qualifications):
  - Associate or Bachelor’s degree
  - Experience with Meditech software
  - Knowledge of managed care coverage and reimbursement procedures
  - Strong interpersonal skills to handle confidential information professionally
  - Ability to work independently and as part of a team
  
  #HealthcareServices #PriorAuthorization #RemoteWork #CareerGrowth #PatientCare
  
  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

  Logan Health Medical Center, formerly Kalispell Regional Medical Center is a 288-bed non-profit, tertiary, research and academic medical center located in Kalispell, Montana, servicing the northern Montana region.

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