Prior Authorization Specialist - Healthcare Access

Ardent Health Services

Albuquerque (NM)

Vor Ort

USD 36.000 - 60.000

Vollzeit

Vor 3 Tagen

Sei unter den ersten Bewerbenden

Eine vollständige Bewerbung in einer Minute

Maßgeschneiderter Lebenslauf und Anschreiben – versandbereit.

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Zusammenfassung

Ardent Health Services is seeking a Day Shift, full-time Prior Authorization Tech in Albuquerque, NM to support the Health Services Department with telephone triage, data entry, and authorization processing. The role involves receiving, screening, and transferring calls, assisting callers with questions, and ensuring adherence to policies for patient safety.

The position requires a High School Diploma or GED, two years of direct patient care experience, and computer skills (Word/Excel) plus

Qualifikationen

High School Diploma or GED.
Two years of experience in direct patient care at a medical office or facility.
Computer training (Word/Excel), Medical Terminology, working knowledge of CPT, HCPCS, ICD-9 codes, and ACD telephone system.
Preferred: Medical Assistant Certification.
Five years of experience in direct patient care at a medical office or facility.

Aufgaben

Provides telephone triage, data entry and assistance to the Health Services Department in order to ensure quality customer service and exceptional quality management.
Receives, screens, manages, resolves and/or transfers calls.
Assists callers with questions and concerns.
Adheres to policies, procedures and regulations to ensure compliance and patient safety.
Enters authorizations and recertification requests with accuracy to include eligibility, provider status, and benefit interpretations.

Jobbeschreibung