Prior Authorization Specialist - hybrid after onsite training! - Full Time 8am-4:30pm - Concord Massachusetts

Company: Emerson Hospital
Location: Concord, Massachusetts
Posted On: 05/03/2024

Job SummaryReports to the Direct of Patient Access, the position serves as the hospital`s primary contact for patient reimbursement issues in accordance with established credit policies. The position works with third-party payors for necessary authorizations and verification of coverage issues. The position also provides cashiering services for Emerson Hospital. - -Minimum Qualifications -EducationHigh School Diploma or equivalent required.Associates Degree preferred.Work experience may be substituted for higher education.ExperienceOne to 3 years as a financial counselor at a hospital and/or authorization coordinator required
and/or
3-5 years full-time admitting experience with insurance knowledge requiredKnowledge of insurances, pre certification and referral procedures requiredKnowledge of the Virtual Gateway and Medicaid applications preferredExperience in working with patients requiredExperience in working with payers to appeal pre auth denials preferredLicensure and/or CertificationNone requiredSkillsKnowledge of third party payors.Knowledge of Medicare billing practices and regulations.Insurance verifications experience.Computer proficiency.Excellent interpersonal skills are required to interact effectively with all organizational levels, with demonstrated organizational skills and ability to work accurately with detailed confidential information.Must have the ability to read, write and communicate in English.Must be highly organized, cooperative, and able to work well with others.Ability to prioritize and perform multiple tasks.Thorough understanding of team management concepts.Comprehensive knowledge of medical terminology.The ability to effectively communicate with external organizations as well as various levels of management required. More...

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