Prior Authorization Specialist - Detail-Oriented Claims

Cherrycountyhospital; Northern (KY); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Retirement Plan

Job summary

Cherry County Hospital is hiring a Prior Authorization Specialist to obtain pre-certifications for procedures and medications. You will verify patient eligibility, coordinate with carriers, and secure timely authorizations for services.

Role requires high school diploma, preferred medical setting experience, and proficiency with Excel, Word, and Windows. You will work onsite in a collaborative hospital and clinic environment with comprehensive benefits.

Qualifications

• High school diploma required or equivalent.
• Prior customer service experience in medical settings preferred.
• Knowledge of medical terminology preferred.
• Experience with Excel, Word and Windows highly desirable.

Responsibilities

• Obtain pre-certifications and pre-authorizations for procedures and medications.
• Contact insurance carriers to verify patient eligibility and benefits.
• Track and obtain authorizations and follow up to ensure timely approvals.
• Document communications in standardized format and maintain confidentiality.
• Assist with scheduling and record retrieval as needed.
• Communicate insurance updates to departments as needed.

Skills

Communication skills

Microsoft Excel

HIPAA knowledge

Medical terminology

Data interpretation

Team collaboration

Confidentiality

Education

High school diploma

Tools

Microsoft Excel

Microsoft Word

Windows

Job description

Cherry County Hospital is hiring a Prior Authorization Specialist to obtain pre-certifications for procedures and medications. You will verify patient eligibility, coordinate with carriers, and secure timely authorizations for services.

Role requires high school diploma, preferred medical setting experience, and proficiency with Excel, Word, and Windows. You will work onsite in a collaborative hospital and clinic environment with comprehensive benefits.