Authorization Specialist - Admitting - Full Time

Carson-Valley-Health; Gardnerville (NV); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

No state income tax

Hometown Health Medical

EyeMed Vision

Guardian Dental

Flexible Spending Account

Vanguard 401(k) with match

Care Flight Membership

Basic Life and AD&D insurance

Unum Supplemental Insurance

Earned Time Off

Sick Leave and Paid Holidays

Unum Employee Assistance Program

CyberScout Identity Theft Program

Tuition Reimbursement

HRSA Loan Repayment Program

Boys and Girls Club childcare benefit

Paid Volunteer Hours

Job summary

Carson Valley Health in Gardnerville, NV seeks an Authorization Specialist - Admitting to verify insurance benefits and secure pre-certification and authorization for scheduled patient encounters. You will document and process patient financial information in a busy hospital setting.

The role requires a High School Diploma or equivalent and 1-2 years of medical insurance verification experience, plus knowledge of ICD-10/CPT codes and regulations. Strong Excel/comms skills are needed.

Qualifications

• High School Diploma or equivalent.
• 1-2 years of medical insurance verification experience.
• Medical terminology and/ or medical experience.
• Knowledge of federal/state regulations, A/P, ICD 10, CPT codes.
• Professional customer service skills.
• Good organizational and multi-tasking skills.

Responsibilities

• Verifies eligibility and benefits prior to any scheduled procedures.
• Maintains accurate computer records and processes patient financial information.
• Maintains quality communication between the business office, registration, physician offices and all departments.
• Monitors A/R, denials, verifications and authorization.

Skills

Insurance verification

Medical terminology

Regulations knowledge

Excel

Communication

Organization

Education

High School Diploma or equivalent

Tools

Excel

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Hospital, Gardnerville, NV, US

POSITION SUMMARY:

Responsible for the verification of insurance benefits and securing pre-certification and authorization for scheduled patient encounters. Document and process patient financial information.

POSITION REQUIREMENTS:

• High School Diploma or equivalent.

Minimum Work Experience Required:

• 1- 2 years of medical insurance verification experience.
• Medical terminology and/ or medical experience.
• Knowledge of federal/state regulations, A/P, ICD 10, CPT codes.
• Good organizational and multi-tasking skills.

POSITION ESSENTIAL FUNCTIONS:

• Working knowledge of current policies and procedures.
• Ability to communicate all pertinent questions and answers related to the registration process.
• Demonstrates knowledge related to all current federal and state regulations.

Registration:

• Combines same day accounts as mandated for billing compliance.
• Verifies eligibility and benefits prior to any scheduled procedures.
• Maintains accurate computer records and process patient financial information.
• Maintains quality communication between the business office, registration, physician offices and all departments.

Reporting:

• Demonstrates computer skills; proficient in excel.
• Uses good organizational and multi-tasking skills.
• Monitors A/R, denials, verifications and authorization.
• Assumes all other duties and responsibilities as necessary.
• Demonstrates willingness to identify and/or assume activities relative to the developmental needs of the department.
• Demonstrates dependability/flexibility in meeting scheduling needs of the department and hospital.
• Accepts assignment as preceptor for new staff.
• Completes work assignments on time/readily accepts assignments as observed by manager.
• Reports to work on time and is at work as scheduled, as observed by manager.

BENEFITS: If you are scheduled to work part-time at least 24 hours per week and full-time at least 30 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.

• NO STATE INCOME TAX
• Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
• Vanguard 401(k) with match.
• Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
• Employer Paid Basic Life and AD&D insurance.
• Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
• Earned Time Off, Sick Leave and Paid Holidays.
• Unum Employee Assistance Program.
• Employer paid Credit monitoring and Identity Theft Program through CyberScout.
• Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
• Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
• Paid Volunteer Hours for staff to help in the community.
• and More...

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024, 2025 & 2026!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!

Authorization Specialist - Admitting - Full Time

POSITION SUMMARY:

Responsible for the verification of insurance benefits and securing pre-certification and authorization for scheduled patient encounters. Document and process patient financial information.

POSITION REQUIREMENTS:

Minimum Education:

• High School Diploma or equivalent.

Minimum Work Experience Required:

• 1- 2 years of medical insurance verification experience.
• Computer skills required; proficient in excel.
• Medical terminology and/ or medical experience.
• Knowledge of federal/state regulations, A/P, ICD 10, CPT codes.
• Professional customer service skills.
• Good organizational and multi-tasking skills.

POSITION ESSENTIAL FUNCTIONS:

Billing Information:

• Working knowledge of current policies and procedures.
• Ability to communicate all pertinent questions and answers related to the registration process.
• Demonstrates knowledge related to all current federal and state regulations.

Registration:

• Combines same day accounts as mandated for billing compliance.
• Verifies eligibility and benefits prior to any scheduled procedures.
• Maintains accurate computer records and process patient financial information.
• Maintains quality communication between the business office, registration, physician offices and all departments.

Reporting:

• Demonstrates computer skills; proficient in excel.
• Uses good organizational and multi-tasking skills.
• Monitors A/R, denials, verifications and authorization.
• Assumes all other duties and responsibilities as necessary.
• Demonstrates willingness to identify and/or assume activities relative to the developmental needs of the department.
• Demonstrates dependability/flexibility in meeting scheduling needs of the department and hospital.
• Accepts assignment as preceptor for new staff.
• Completes work assignments on time/readily accepts assignments as observed by manager.
• Reports to work on time and is at work as scheduled, as observed by manager.

BENEFITS: If you are scheduled to work part-time at least 24 hours per week and full-time at least 30 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.

• NO STATE INCOME TAX
• Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
• Vanguard 401(k) with match.
• Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
• Employer Paid Basic Life and AD&D insurance.
• Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
• Earned Time Off, Sick Leave and Paid Holidays.
• Nevada 529 College Fund.
• Unum Employee Assistance Program.
• Employer paid Credit monitoring and Identity Theft Program through CyberScout.
• Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
• Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
• Paid Volunteer Hours for staff to help in the community.
• and More...

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024, 2025 & 2026!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!

Monday through Friday 0800 to 1630;

Attachments (2)

ADMITTING - Authorization Specialist (2)08 21 2024.docx

CVH Standards of Behavior Final 032323.pdf