Hospital Insurance Preauthorization Coordinator

Sturdy Memorial Hospital; Attleboro (MA); Presencial; USD 27.000 - 41.000; Jornada completa

Descripción de la vacante

Sturdy Memorial Hospital is seeking an Insurance Authorization Clerk to verify insurance preauthorizations for scheduled outpatient examinations and liaise with physician offices to exchange information accurately.

Under the Clerical Supervisor, you will maintain hard copy records, stay updated on insurer requirements, and collaborate with schedulers and technologists to obtain correct authorizations. Strong English communication and computer skills are essential.

Formación

• Minimum of 1 year of experience in customer service industry.
• Must be well organized and able to work independently
• able to interact in a pleasant manner, either on the telephone or in person with patients and family members
• command of verbal and written English
• positive interpersonal communication skills
• Computer literate
• Detail Oriented

Responsabilidades

• Verify insurance authorization for scheduled exams by using the Internet as well as telephone communication.
• Work with schedulers/technologists in verifying correct exam is ordered for presenting problem.
• Check prior day’s schedule for additional studies performed that were not authorized.
• Contact physician’s office to obtain authorization for additional studies performed – to be done in a timely manner per each insurance filing requirements.
• Verify eligibility and pre-authorization requirements for scheduled patients having exams that require prior authorization, especially from offices outside of the health system.
• Research and rectify issues presented from coding/billing in regards to prior authorization.
• Responsible for general and secondary tasks as needed or assigned.

Conocimientos

Customer service

Organized

Verbal communication

Written communication

Computer literacy

Detail oriented

Educación

High School Diploma

Herramientas

Cerner

Descripción del empleo

Sturdy Memorial Hospital is seeking an Insurance Authorization Clerk to verify insurance preauthorizations for scheduled outpatient examinations and liaise with physician offices to exchange information accurately.

Under the Clerical Supervisor, you will maintain hard copy records, stay updated on insurer requirements, and collaborate with schedulers and technologists to obtain correct authorizations. Strong English communication and computer skills are essential.