Remote Pre-Registration Coordinator — Prior Authorization

HonorHealth; Phoenix (AZ); On-site; USD 43,000 - 62,000; Full time

Job summary

HonorHealth is seeking a remote-based Financial Clearance Specialist under Pre-Registration to perform insurance benefits verification, prior authorization, and medical necessity interpretation for hospital outpatient services.

You will document interactions in the EMR, coordinate with payers, and inform patients of their benefits and authorization status, while maintaining compliance with policies and providing excellent patient service.

Qualifications

• Basic knowledge of health insurance plans and requirements.
• Type a minimum of 45 words-per-minute.
• 1 year in healthcare field or related prior authorization experience.

Responsibilities

• Manages prior authorization, insurance eligibility and benefits, and medical necessity for hospital outpatient services.
• Documents all patient and insurance information into EMR per department standards.
• Communicates results and status to patients, departments, and referring physicians as needed; provides timely responses to inquiries.
• Adheres to all policies and maintains professional conduct per ICARE values.

Skills

Typing 45 wpm

Communication skills

Patient interaction

Education

Associate's Degree

High School Diploma or GED

Tools

EMR software

Payor portals

Job description

HonorHealth is seeking a remote-based Financial Clearance Specialist under Pre-Registration to perform insurance benefits verification, prior authorization, and medical necessity interpretation for hospital outpatient services.

You will document interactions in the EMR, coordinate with payers, and inform patients of their benefits and authorization status, while maintaining compliance with policies and providing excellent patient service.