1 Pre Authorization Representative- Patient Access Job in Rapids, IA
Mercy Medical Center - Cedar Rapids is Hiring a Pre Authorization Representative- Patient Access Near Rapids, IA
- Performs pre-authorization duties requiring good knowledge of hospital programs and procedures.
- Possesses a complete understanding of health insurance industry requirement for preauthorization per payer.
- Initiates an accurate and complete pre-authorization and makes required edits on pre-authorizations as needed. Includes following up on missing pre-authorization information.
- Understands ICD-10 coding systems for local medical review policies (LMRP), national coverage determination (NCD) and pre-authorization process required.
- Interacts frequently with physicians, physician office staff, patients and families.
- Uses the call manager and computer to perform all pre-authorization and scheduling duties.
- Basic proficiency in operation of computer, basic keyboarding, fax machine, filing systems, and telephone systems or call center knowledge.
- Knowledge of medical terminology, anatomy strongly preferred.
- Knowledge of ICD-10 coding systems for local medical review policies (LMRP), national coverage determination (NCD) and pre-authorization process required.
- Excellent interpersonal and customer service skills.
- Excellent oral and written communication skills.
- Ability to perform multiple tasks with constant interruptions.
- Preferred: Experience or training in medical terminology, anatomy, ICD-10 and CPT coding experience.
- High School Diploma or equivalent strongly preferred. Relevant experience to be considered in lieu of degree.
- Preferred: Associates degree, graduate of HIM program, RHIT or RHIA certification.
- Sedentary: Exert up to 10 lbs. of force occasionally and/or a minute amount frequently
Job Summary
Full Time
Hospital
$35k-42k (estimate)
09/11/2023
06/22/2024
www.mercycare.org
Cedar Rapids, Iowa
7,500 - 15,000
Jon Sweet
$500M - $1B
Hospital
Related Companies
About Mercy Medical Center - Cedar Rapids
MercyCare Community Physicians has fifteen family practice clinics throughout the Cedar Rapids, Iowa area, including in Center Point, Hiawatha, Marion, Monticello, Mount Vernon, North Liberty and Tama. Two urgent care facilities and four specialty clinics are also part of the MCCP system. MCCP also offers billing and other administrative services to clients of its Managed Services Organizations. Established in 1995, MCCP is affiliated with Mercy Medical Center in Cedar Rapids, Iowa.
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