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Prior Authorization Specialist - Full Time $5,000 Sign on Bonus!

Emerson Hospital
United States, Massachusetts, Concord
133 Old Road to 9 Acre Corner (Show on map)
January 08, 2023
Prior Authorization Specialist - Full Time $5,000 Sign on Bonus! Job Ref: 24980 Category: Revenue Cycle Location: Emerson Hospital, 133 Old Road to Nine Acre Corner, Concord, MA 01742 Department: Patient Access Schedule: Full Time Shift: Day shift Hours: 8:30am-5pm Would you like to work at a community hospital where the well-being of people-beginning with you-is valued above all else? Our supportive environment, combined with a generous compensation and benefits package, allow you to balance your work and personal life, take care of your family and plan for your future. Benefits highlights include: Health and Dental Insurance, PTO Program, Retirement Savings Plan, Life & Long-Term Disability Insurance, Tuition Assistance, Employee Assistance Program, Free Parking and more. Benefits available to part-time employees (scheduled 24 hours or more per week). Job Summary Reports 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 Education High School Diploma or equivalent required. Associates Degree preferred. Work experience may be substituted for higher education. Experience One 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 required Knowledge of insurances, pre certification and referral procedures required Knowledge of the Virtual Gateway and Medicaid applications preferred Experience in working with patients required Experience in working with payers to appeal pre auth denials preferred Licensure and/or Certification None required Skills Knowledge 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.