Payor Clearance & Authorization Specialist

Children's National Hospital; McRae (AR); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Comprehensive health coverage

Generous paid time off

Tuition assistance

Job summary

Children's National Hospital is looking for a Payor Clearance Specialist to join their Patient Access team in McRae, Arkansas. The role focuses on navigating insurance regulations to enhance patient access, ensuring proper clearance before care is provided. Candidates must have a High School Diploma or GED, along with at least 3 years of relevant healthcare experience.

This role requires excellent communication and customer service skills, combined with a deep understanding of payor processes and authorizations. Competitive benefits include comprehensive health coverage and generous paid time off.

Qualifications

• 3 years healthcare experience with payor navigation, claims and billing.
• 2 years experience related to CPT and ICD coding assignment.
• Knowledge of confidentiality guidelines and CNMC policies.

Responsibilities

• Navigate payor CO-BA issues before service for proper claims payments.
• Work collaboratively to ensure patients have undergone payor clearance.
• Provide supporting clinical information to insurance payors.

Skills

Communication skills

Customer service

Detail-oriented

Problem-solving

Healthcare experience

Knowledge of insurance requirements

Education

High School Diploma or GED

Tools

Cerner

Passport

Job description

Children's National Hospital is looking for a Payor Clearance Specialist to join their Patient Access team in McRae, Arkansas. The role focuses on navigating insurance regulations to enhance patient access, ensuring proper clearance before care is provided. Candidates must have a High School Diploma or GED, along with at least 3 years of relevant healthcare experience.

This role requires excellent communication and customer service skills, combined with a deep understanding of payor processes and authorizations. Competitive benefits include comprehensive health coverage and generous paid time off.