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3 Prior Authorization Specialist (Non-Exempt) Jobs in Cape Girardeau, MO

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Mercy
Cape Girardeau, MO | Full Time
$39k-48k (estimate)
3 Months Ago
Mercy
Cape Girardeau, MO | Full Time
$39k-49k (estimate)
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Southeast Health
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Prior Authorization Specialist (Non-Exempt)
Mercy Cape Girardeau, MO
$39k-48k (estimate)
Full Time 3 Months Ago
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Mercy is Hiring a Prior Authorization Specialist (Non-Exempt) Near Cape Girardeau, MO

We’re a Little Different

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”

Overview:The Prior authorization representatives are responsible for understanding insurance rules and requirements for tests and different categories of tests ordered to understand how to submit a prior authorization and clinical documentation required to receive an approval.This position requires a thorough understanding of procedures of prior authorization requests, coding, billing, rejections and denials. It requires monitoring of insurance company regulations for changes in pre-certification, documentation, or claims submission requirements. It also requires accuracy, attention to detail and the ability to communicate well with physicians, staff, patients, and insurance companies. The Prior authorization representative also serves as a resource for other staff and patients, and always performs duties in a manner consistent with Mercy Service Standards. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Qualifications:

  • A minimum of 3 years related experience required.
  • A minimum of 1 year experience with certificate and/or 3 years minimum relevant experience with clinical role and/or prior
  • .Certification/Registration:Other skills & knowledge: Typing speed 40wpm or higher. (skills, knowledge, abilities)Interpersonal, organizational, and analytical skills required.

We Offer Great Benefits:

Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!

We’re bringing to life a healing ministry through compassionate care.

At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.

What Makes You a Good Match for Mercy?

Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

Job Summary

JOB TYPE

Full Time

SALARY

$39k-48k (estimate)

POST DATE

02/14/2024

EXPIRATION DATE

02/07/2025

WEBSITE

mercy.net

HEADQUARTERS

TUCSON, AZ

SIZE

15,000 - 50,000

FOUNDED

1886

TYPE

Private

CEO

ROY WILLIAM A TAN JR

REVENUE

$5B - $10B

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The job skills required for Prior Authorization Specialist (Non-Exempt) include Prior Authorization, Health Care, Billing, Attention to Detail, etc. Having related job skills and expertise will give you an advantage when applying to be a Prior Authorization Specialist (Non-Exempt). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Prior Authorization Specialist (Non-Exempt). Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Prior Authorization Specialist (Non-Exempt) positions, which can be used as a reference in future career path planning. As a Prior Authorization Specialist (Non-Exempt), it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Prior Authorization Specialist (Non-Exempt). You can explore the career advancement for a Prior Authorization Specialist (Non-Exempt) below and select your interested title to get hiring information.

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If you are interested in becoming a Prior 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 a Prior Authorization Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Prior Authorization Specialist job description and responsibilities

Request, follow up and secure prior-authorizations prior to services being performed.

04/09/2022: Laramie, WY

Receive requests for pre-authorizations and ensure that they are properly and closely monitored.

03/28/2022: Schenectady, NY

Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.

02/27/2022: Wichita, KS

Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.

04/08/2022: Altus, OK

Reported to supervisor to assure accurate capture of services needing authorization.

02/05/2022: Dothan, AL

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 Prior Authorization Specialist jobs

Prior Authorization Specialist must have excellent computer skills including Excel, Word, and Internet use.

02/12/2022: New Britain, CT

A good Prior Authorization Specialist are those who are detail oriented with above average organizational skills.

03/28/2022: Galveston, TX

Basic understanding of human anatomy, specifically musculoskeletal would also give you benefits for this role.

04/04/2022: Lebanon, PA

Some experience in medical billing or insurance authorization are strongly preferred by most employers.

03/10/2022: Jamestown, NY

Licenses and certifications are not usually required to work as a prior authorization specialist.

04/02/2022: Mcallen, TX

Step 3: View the best colleges and universities for Prior Authorization Specialist.

Butler University
Carroll College
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Princeton University
Providence College
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