2 Authorization Specialist Jobs in North Platte, NE
Great Plains Health is Hiring an Authorization Specialist Near North Platte, NE
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Mission
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To inspire health and healing by putting patients first - ALWAYS.
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- Position Summary
- This position provides comprehensive care coordination for patients as assigned. This position assesses the patient's plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patient's health care needs. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position works closely with the physicians, nurses, schedulers, and patient financial services team.
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- Minimum Qualifications
- Education
- High Schoole Diploma or Equivalent
- Degree in Secretarial Administration, Health Care Administration, Business, and/or Accounting preferred.
- Knowledge of Medical Terminology, CPT and IDC codes required.
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- Credentials
- None
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- Physical Demands
- Stand and/or walk frequently.
- Sit frequently.
- Lift 50 pounds frequently.
- Carry 10 pounds frequently.
- Push and/or pull 10 pounds frequently.
- Climb 1 step occasionally.
- Bend, squat, and kneel frequently.
- Reach floor-overhead frequently.
- Manual dexterity, eye hand coordination and color vision within normal limits.
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- Essential Functions
- Manages individual patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
- Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
- Effectively communicates the plan across the continuum of care.
- Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes.
- Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. Works on denials to overturn them.
- Educates internal members of the health care team on pre-authorizations and managed care concepts. Serve as an informational and educational resource to outside facilities i.e. nursing homes, assisted living and rehabilitation centers. Facilitates integration of concepts into daily practice.
- Acts in an educational function to help identify, collects and communicates pertinent, timely information to fulfill utilization and regulatory requirements.
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Job Summary
Full Time
$82k-100k (estimate)
06/08/2023
06/30/2024
greatplainshealthcompany.co
Billings, MT
<25
Related Companies
The job skills required for Authorization Specialist include Health Care, Leadership, Communicates Effectively, Coordination, etc. Having related job skills and expertise will give you an advantage when applying to be an Authorization Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Authorization Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Authorization Specialist positions, which can be used as a reference in future career path planning. As an Authorization Specialist, it can be promoted into senior positions as a Medical Policy Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Authorization Specialist. You can explore the career advancement for an Authorization Specialist below and select your interested title to get hiring information.
If you are interested in becoming an Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Authorization Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Authorization Specialist job description and responsibilities
Updates patient insurance and demographics information as needed.
03/31/2022: Florence, SC
Request, follow up and secure prior-authorizations prior to services being performed.
03/30/2022: Rochester, NY
Complete authorizations and referrals for services, including appointments and procedures.
01/29/2022: Clarksville, TN
Monitors incoming patient orders and gathers information needed to complete the pre-authorization and scheduling of an order
03/22/2022: Ann Arbor, MI
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
01/29/2022: York, PA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Authorization Specialist jobs
There are great benefits to having a Prior Authorization Certified Specialist on staff to help with the administrative process.
03/31/2022: Greensboro, NC
Give credence to customer complaints.
02/08/2022: Salem, OR
Create a quick reference guide of your payor contacts
04/11/2022: Cincinnati, OH
Authorization Specialist assist with other clerical tasks as needed.
01/22/2022: Lincoln, NE
Licenses and certifications are not usually required to work as a prior authorization specialist.
03/09/2022: Bremerton, WA
Step 3: View the best colleges and universities for Authorization Specialist.
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