Pre-Authorization Specialist – Healthcare Access

Clive Behavioral; Washington (District of Columbia); Sur place; USD 55 000 - 75 000; Plein temps

Avantages offerts par ce poste

Competitive compensation

Excellent benefits package

Tuition Reimbursement

Paid Time Off

401(k) with company match

Career development opportunities

Résumé du poste

Clive Behavioral in Washington, DC seeks a Pre-Authorization Representative to identify payer requirements, obtain prior approvals, and document decisions in CERNER and EPIC. You will liaise with providers to ensure timely authorization and minimize denials, contributing to patient care efficiency.

The role requires an associate degree and healthcare experience, with CHAA certification preferred. Competitive benefits and opportunities across the UHS network are highlighted.

Qualifications

• Associate degree in business or related field required.
• Five years of health care facility experience or equivalent.
• CHAA certification preferred.

Responsabilités

• Identify prior authorization requirements by payer and process.
• Obtain pre-authorization for scheduled and add-on services.
• Determine coverage status and document in CERNER and EPIC.
• Communicate approvals/denials to ordering providers; facilitate peer reviews.

Connaissances

Healthcare experience

Prior authorization

Communication skills

Cerner/EPIC experience

Formation

Associate degree in business or related field

Outils

Cerner

EPIC

Description du poste

Clive Behavioral in Washington, DC seeks a Pre-Authorization Representative to identify payer requirements, obtain prior approvals, and document decisions in CERNER and EPIC. You will liaise with providers to ensure timely authorization and minimize denials, contributing to patient care efficiency.

The role requires an associate degree and healthcare experience, with CHAA certification preferred. Competitive benefits and opportunities across the UHS network are highlighted.