Prior Authorization Specialist

NOR-LEA GENERAL HOSPITAL INC; Lovington (NM); On-site; USD 36,000 - 48,000; Full time

Job summary

The Prior Authorization Clerk at NOR-LEA GENERAL HOSPITAL INC in Lovington, NM handles obtaining prior authorizations for the hospital and clinics. The role requires organization, multitasking, and strong oral and written communication skills to interact with insurance companies, providers, and patients.

Responsibilities include researching information, contacting insurers by phone or fax, processing PA, and escalating issues to clinical staff as needed.

Qualifications

• Excellent oral and written communication skills.

Responsibilities

• Obtain prior authorizations for hospital and NLHD Clinics.
• Research and gather information; contact insurers via phone or fax to obtain coverage authorizations.
• Process PA requests and collaborate with providers to resolve issues.
• Escalate coverage determination problems to clinical staff as needed.

Education

High school diploma or GED

Job description

The Prior Authorization Clerk at NOR-LEA GENERAL HOSPITAL INC in Lovington, NM handles obtaining prior authorizations for the hospital and clinics. The role requires organization, multitasking, and strong oral and written communication skills to interact with insurance companies, providers, and patients.

Responsibilities include researching information, contacting insurers by phone or fax, processing PA, and escalating issues to clinical staff as needed.