PRE AUTHORIZATION SPECIALIST
Company: Saint Bernards Medical Center
Location: Jonesboro
Posted on: May 28, 2023
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Job Description:
JOB REQUIREMENTS
Education
College degree with emphasis on healthcare, accounting, or business
is preferred. OR A high school graduate with registration or
business office experience.
Experience
Pre-Authorization experience preferred. Two years in registration
or business office is recommended.
Physical
This is a safety sensitive position. Please see the St. Bernards
Substance Abuse Policy for further information.
Normal hospital environment. Close eye work. Hearing within normal
range. Operates calculator, computer, telephone, copier, general
office equipment. Continuous sitting. Occasional walking and
bending within the work area. Lifting, carrying, pushing and
pulling charts and office supplies up to 20 lbs.
JOB SUMMARY
The Pre-Authorization Reviewer is responsible for collecting
appropriate pre-authorization information and verifying coverage of
patients admitted under group or private insurance plans. Must be
able to converse with insurance company and review agency
representatives and possess communication skills to provide needed
information in a clear and concise manner. Is responsible for
providing information from insurance companies and/or review
agencies to appropriate medical center departments in an orderly
and timely manner. Pre-Authorization Reviewer will work closely
with Business Office, Medical Records, Scheduling, Registration,
and Administration to assure insurance process and utilization
review flows smoothly. Maintain good relations with clinics and
clinical staff in a positive, professional manner.
Keywords: Saint Bernards Medical Center, Jonesboro , PRE AUTHORIZATION SPECIALIST, Other , Jonesboro, Arkansas
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