Prior Auth & Verification Specialist - Healthcare Billing

Griffin Hospital; Derby (CT); On-site; USD 24,000 - 39,000; Full time

Job summary

Griffin Hospital in Derby, Connecticut is seeking a Prior Authorization and Verification Specialist to ensure payer readiness for scheduled services. The role includes contacting payers for service authorization and gathering clinical, financial, and demographic information as needed.

Requirements include an Associate degree or equivalent experience and at least 5 years of healthcare experience, plus strong communication, medical terminology knowledge, and proficiency with healthcare information

Qualifications

• Associate degree in healthcare or business administration and/or related coursework, or comparable experience.

Responsibilities

• Ensure payers are prepared to reimburse Griffin Hospital for scheduled services according to the payer-provider contract.
• Contact payers to request service authorization and collect necessary patient information as needed.

Skills

Excellent communication

Customer service

Medical terminology familiarity

Detail orientation

Prioritization and multitasking

Healthcare information systems

Education

Associate degree

Job description

Griffin Hospital in Derby, Connecticut is seeking a Prior Authorization and Verification Specialist to ensure payer readiness for scheduled services. The role includes contacting payers for service authorization and gathering clinical, financial, and demographic information as needed.

Requirements include an Associate degree or equivalent experience and at least 5 years of healthcare experience, plus strong communication, medical terminology knowledge, and proficiency with healthcare information