Impactful Prior Authorization Specialist - Revenue Cycle

Centra Health, Inc.; Lynchburg (VA); In loco; USD 25.000 - 30.000; Tempo pieno

Descrizione del lavoro

Centra Health, Inc. is seeking an experienced Prior Authorization Specialist to obtain authorizations for surgeries, imaging and other scheduled services across Centra Health locations.

You will verify patient demographics, insurance details, and update the EMR to ensure timely approvals. In this role you will liaise with providers, hospitals, and insurance plans, monitor payer timelines, and communicate any delays to scheduling teams.

Competenze

• High school diploma or equivalent.
• Proficient with Microsoft Office Products.
• Proficient typing and spelling.
• Proficient computer skills and multitasking across applications.
• Strong customer service, detail orientation, and communication skills.
• Ability to work independently and stay productive.

Mansioni

• Obtain prior authorizations for surgeries, imaging, and scheduled services.
• Verify insurance eligibility and update EMR as needed.
• Initiate timely authorization requests via phone or payer portal.
• Submit medical documentation required for authorizations.
• Obtain additional information from providers as appropriate.
• Communicate delays or rescheduling needs due to payer issues.
• Adhere to HIPAA, CMS, EMTALA, and other regulations.

Conoscenze

Customer service

Attention to detail

Communication skills

Multitasking

Typing

Microsoft Office

Formazione

High school diploma

Some college experience

Associates degree

Bachelor's degree

Strumenti

Microsoft Office

Descrizione del lavoro

Centra Health, Inc. is seeking an experienced Prior Authorization Specialist to obtain authorizations for surgeries, imaging and other scheduled services across Centra Health locations.

You will verify patient demographics, insurance details, and update the EMR to ensure timely approvals. In this role you will liaise with providers, hospitals, and insurance plans, monitor payer timelines, and communicate any delays to scheduling teams.