Pre Authorization LPN

CommonSpirit Health; Little Rock (AR); On-site; USD 40,000 - 70,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

FSA

Matching Retirement Plans

Paid Vacation

Adoption Assistance

Job summary

An established industry player in healthcare is seeking a Prior Authorization LPN to facilitate the pre-authorization process for radiology services. This role involves collaborating with payers and healthcare teams to ensure compliance and timely care for patients. The ideal candidate will possess strong communication skills and a solid understanding of insurance billing procedures. Join a dedicated team committed to social justice and health equity, where your contributions will make a real difference in the lives of patients. Enjoy a supportive work environment with a range of benefits designed to enhance your well-being and professional growth.

Qualifications

• 3+ years of experience in pre-certification and insurance billing processes.
• Active LPN license in good standing with the Arkansas State Board of Nursing.

Responsibilities

• Manage communication with third-party payers for pre-authorizations.
• Collaborate with departments for timely transmission of clinical information.

Skills

Communication Skills

Knowledge of Insurance Billing Procedures

Experience with Pre-Certification Processes

Education

Associate Degree in Healthcare

Job description

Overview

As our Prior Authorization LPN at St. Vincent, you will help patients and healthcare providers by facilitating the pre-authorization process for radiology services so they can receive timely and accurate care. This is for our Radiology West Clinic.

Every day, you will collaborate with payers and healthcare teams. You will be expected to communicate payer requirements, track authorization requests, and ensure compliance with payer guidelines.

To be successful in this role, you must possess strong communication skills, knowledge of insurance billing procedures, and experience with pre-certification processes.

CHI St Vincent Infirmary is a 600 bed faith-based, non-profit, acute care facility providing quality health care to patients and communities from all over the State of Arkansas. Our level II trauma center is a regional referral center for cardiology, trauma, behavioral health, cancer care, neurosciences, and other specialties. We have been consistently named by US News & World Report as one of the State’s best hospitals, with high performance in heart care, colorectal surgery, and joint replacement.

If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.

Responsibilities

• Manage communication with third-party payers to secure pre-authorizations for radiology services.
• Collaborate with clinic and hospital departments to ensure timely transmission of clinical information.
• Assist with payer notifications, maintain databases, and identify process improvement opportunities for denied authorizations.

Qualifications

• Associate Degree in a healthcare-related field
• 3+ years of experience in pre-certification, referrals, and insurance billing processes
• Active LPN license in good standing with the Arkansas State Board of Nursing
• ACLS certification required

While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, and more!