1 Prior Authorization Specialist Job in St. Albans, VT
Northwestern Medical Center is Hiring a Prior Authorization Specialist Near St. Albans, VT
Prior Authorization Specialist
Patient Access Department
Join our award-winning team!
Northwestern Medical Center, where you can be the difference!
Looking to advance your career at a vibrant, community hospital in a locale that will have you wondering why you ever chose to live anywhere else? Come join the Northwestern Medical Center family, where our focus on high reliability ensures constant emphasis on safety, quality, and improvement as we pursue our mission of exceptional care. Be part of a team where you can make a difference, all while enjoying the quality of life Vermont provides.
Northwestern Medical Center's mission is to provide exceptional healthcare for our community and we are currently recruiting for a Full-time Prior Authorization Specialist opportunity.
EXPECTED HOURS/SHIFT: Full-Time (80 hours bi-weekly), generally Monday-Friday, 8:00a-4:30p
- The Prior Authorization Specialist performs payer eligibility, complex financial clearance, and pre-certification and prior authorization functions for the organization. The Specialist obtains pre-certification and prior authorizations directly from insurance payers for ambulatory, outpatient, and inpatient services. The Specialist will validate authorizations for scheduled services. The Specialist acts as the organizational subject matter expert for prior authorization and pre-certification payer requirements and processing, and will collaborate with internal and external stakeholders to provide knowledge, guidance, and training. The Specialist will research and monitor payer correspondence to stay updated on specific payer rules and requirements. The Specialist will log and action any denials related to prior authorization and may assist with obtaining retroactive authorizations, facilitating appeals, and providing interventions to prevent future denials from occurring. The Specialist may perform functions of a Pre-Encounter Representative as needed to include scheduling and pre-registration.
Experience: Prior customer service experience preferred. Prior administrative/clerical experience in medical office/hospital setting preferred. Prior clerical work experience in a medical office, knowledge of medical terminology, proficient typing skills preferred.
Skills: Basic computer and typing skills required. Must be detail oriented, organized, be able to handle multiple tasks and responsibilities and prioritize appropriately, have basic math skills to collect money and make change, and have strong communication skills to communicate with people in a professional and tactful manner.
Northwestern Medical Center’s Benefit Package:
With “people” as one of our core values, valuing our employees is a top priority for Northwestern Medical Center. We care about our employees, their families, and their overall health & well-being. We are proud to offer a comprehensive & generous benefits package designed to help our people stay healthy, balance work & life responsibilities, protect their assets & plan for a secure financial future. Northwestern offers a comprehensive benefit package with recognized national carriers as well tuition assistance programs.
Apply online at: https://www.northwesternmedicalcenter.org/careers
Job Summary
Full Time
Ambulatory Healthcare Services
$38k-47k (estimate)
04/25/2024
06/23/2024
northwesternmedicalcenter.org
SAINT ALBANS, VT
500 - 1,000
1883
Private
M YTTS-PETERSON
<$5M
Ambulatory Healthcare Services
Related Companies
The job skills required for Prior Authorization Specialist include Prior Authorization, Customer Service, Scheduling, Communication Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Prior 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 Prior Authorization Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Prior Authorization Specialist positions, which can be used as a reference in future career path planning. As a Prior Authorization Specialist, 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. You can explore the career advancement for a Prior Authorization Specialist below and select your interested title to get hiring information.
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.
Similar Jobs
Popular Articles
