Insurance Preauthorization Specialist

Sturdy Health; Attleboro (MA); On-site; USD 28,000 - 41,000; Full time

Benefits offered by this job

Healthcare benefits

Retirement plan

Job summary

Sturdy Memorial Hospital is seeking an Insurance Pre-Authorization Liaison to verify and obtain prior authorizations for scheduled outpatient exams. You will coordinate with schedulers and technologists to ensure correct authorizations and maintain up-to-date knowledge of insurance requirements.

The role requires at least 1 year in customer service, strong organizational skills, and clear verbal and written English. HIPAA awareness and computer literacy are essential in this hospital setting.

Qualifications

• Minimum of 1 year of experience in customer service.
• 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

Responsibilities

• 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.

Skills

Customer service

Independent worker

English proficiency

Interpersonal skills

Computer literacy

Detail oriented

Education

High School Diploma or equivalent

Tools

Cerner

Job description

Sturdy Memorial Hospital is seeking an Insurance Pre-Authorization Liaison to verify and obtain prior authorizations for scheduled outpatient exams. You will coordinate with schedulers and technologists to ensure correct authorizations and maintain up-to-date knowledge of insurance requirements.

The role requires at least 1 year in customer service, strong organizational skills, and clear verbal and written English. HIPAA awareness and computer literacy are essential in this hospital setting.