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PRIOR AUTHORIZATION SPECIALIST

Company: GORDON MEMORIAL HOSPITAL
Location: Gordon
Posted on: January 15, 2022

Job Description:

Job DetailsLevelExperiencedJob LocationGordon Memorial Hospital - Gordon, NEPosition TypeFull TimeEducation LevelNoneTravel PercentageNoneJob ShiftDayJob CategoryAccountingPOSITION SUMMARYPOSITION SUMMARYThe Prior Authorization Specialist is responsible for verifying all insurance details and obtaining a prior authorization for all required outpatient services. CORE ACCOUNTABILITIESPre-register accounts for all authorized upcoming visits/proceduresKeeps up with and manages the all scheduler desktopsVerifies insurance eligibility and benefits Checks on and completes prior authorizations for all "elective" procedures Reviews and verifies medical necessitySets up peer to peer reviews with providers Performs other duties as assignedSCOPE OF IMPACTThe registration clerk is the first person many patients interact with via phone or face to face. The first impression is important as we strive to create a positive and memorable experience for all patients and visitors while here at Gordon Memorial Health Services.Position QualificationsPOSITION QUALIFICATIONSEducation: High School diploma or equivalent.Experience:Medical background preferred (i.e. medical billing office, coding, CNA)Licensure and Certification: Medical Terminology preferredKnowledge, Skills, and Abilities: Knowledge of:General computer useMicrosoft OfficeInternet navigationMedical Terminology Skills in:Organizing projects and tasksPhone EtiquetteTime managementAccuracy and attention to detail Ability to:Stay organizedMulti-taskBe detail orientedCommunicate effectivelyMaintain confidentialityAbide by all necessary guidelines

Keywords: GORDON MEMORIAL HOSPITAL, Greeley , PRIOR AUTHORIZATION SPECIALIST, Other , Gordon, Colorado

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