Prior Authorizations Specialist

Foundation Health; Fairbanks (AK); On-site; USD 29,000 - 42,000; Full time

Benefits offered by this job

Shift differential

Annual increases

Paid time off

Medical

Vision

Dental

401k with employer match

Tuition assistance

Student loan forgiveness

Onsite gym

Wellness programs

Discount programs

Job summary

Foundation Health Partners is seeking a scheduling professional in Fairbanks, Alaska to manage patient treatment and diagnostic procedure appointments. Responsibilities include verifying insurance, obtaining preauthorizations, and maintaining accurate records in a computerized system.

The role requires a high school diploma or GED, medical terminology knowledge, and 2 years of medical clerical experience. Strong organizational and communication skills are essential, with full-time hours

Qualifications

• High school diploma/GED or equivalent working knowledge.
• 2 years of medical clerical experience; preferably in a hospital central scheduling or physician office scheduling setting.
• Medical terminology is required.
• Excellent organizational, human relations and communication skills.
• Proficient with office software and computerized scheduling systems.
• Ability to maintain accurate statistical records, data gathering and reporting.

Responsibilities

• Receives physician orders and verifies insurance; obtains preauthorizations and per-certifications.
• Schedules patients for treatments or diagnostic procedures using scheduling systems; resolves conflicts.
• Enters patient information into scheduling system and maintains current records; prepares charts and files.
• Distributes educational materials to patients and families; answers questions or forwards to clinical staff.
• Provides administrative support to the assigned unit as needed.

Skills

Organizational skills

Communication skills

Human relations

Medical clerical experience

Education

High school diploma/GED

Tools

Scheduling software

Office software

Job description

Overview

This position is responsible for scheduling patient treatments or diagnostic procedures for assigned area. Activities include pre-registration; receiving physician orders, insurance verification, gathering preauthorizations and pre-certifications. Maintains records and produces statistical reports as required. May distribute educational materials to patients and families if needed in assigned department.

Pay & Benefits:

• Compensation: $21.07 to $30.34 hourly wage based on experience and education
• Additional Pay: Shift Differential, Annual Increases, Paid Time Off
• Benefits: medical, vision, dental, 401k with employer match
• Education Benefits: FHP Tuition Assistance, Student Loan Forgiveness
• Other Benefits: Onsite Gym, Wellness Programs, Discount programs,
• Schedule:Full-time, 40 hours per week, 5x8 hour day shifts, Monday - Friday

About Fairbanks Memorial HospitalFairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior with a strong patient-to-nurse ratio and Shared Leadership Infrastructure. In addition to our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty and endless recreation combine to create a one-of-a-kind place to live, work and play.

Responsibilities

• Receives physician orders and seeks clarification, if necessary. Verifies insurance, obtains preauthorizations and per-certifications. Answers all telephone inquiries related to scheduling.
• Schedules patients for treatments or diagnostic procedures using computerized scheduling systems. Resolves scheduling conflicts, as needed. Documents all information regarding patient re-schedules.
• Enters patient information in computerized scheduling system and gathers information and modifies records, as needed to maintain current database. Prepares charts and manages files within regulatory requirements. Compiles and reports statistical data, if needed by the assigned department.
• Distributes educational materials to patients and families, when necessary. Responds to diverse questions or refers to appropriate clinical staff.
• Provides administrative support to the assigned unit when required.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

Qualifications

High school diploma/GED or equivalent working knowledge.The position also requires skills and abilities typically attained with 2 years of medical clerical experience; preferably in a hospital central scheduling or physician office scheduling setting. Medical terminology is required. Must possess excellent organizational skills, as well as effective human relations and communication skills.Must be proficient with commonly used office software and computers and possess the ability to use computerized scheduling systems. Must be able to maintain accurate statistical records, gather data, and produce reports.PREFERRED QUALIFICATIONSAdditional related education and/or experience preferred.

Foundation Health Partners is an EEO/AAP employer;qqualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.