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Authorization Specialist (RN)
The Prior Authorization Specialist (RN) is responsible for ensuring timely approval and renewal of patient care services to allow Nuclear Care Partners (NCP) to meet patient care needs. This roles serves as the liaison between the Department of Labor (DOL) and NCP. This occurs through communication and coordination between the patient's family, the patient’s physician and the RN Case Manager. The Authorization Specialist supports and creates positive environments through a personal commitment to the Company’s vision and values.
Salary: $33.00/hr. to $37.00/hr.
Shifts: Monday through Friday, in office position with possible hybrid schedule once training is completed.
Benefits: Medical, Dental, Vision, HSA, FSA, 401K, PTO
• Manages care authorization, including new admissions and re-certifications.• Remains detailed orientated in all work with close attention to deadlines.• Maintains communication with DOL, Case Managers, Lead & Team nurses, non- licensed staff, support staff and ancillary services as required for approval process.• Responsible for developing approval paperwork and process as program requirements and criteria change.• Serves as back-up to reception and office administrator for telephone call coverage.• Documentation and reporting on work completed as directed.• Abides by and promotes all Agency policies and procedures.• Supports and takes initiative on necessary state and federal program regulations by process development, implementation and evaluation of compliance and process for said regulations.• Treats current company patients and perspective patient-families with absolute customer service with close communication, friendly service and the utmost professionalism.
• Current RN license required
• Bachelor’s degree preferred
• Excellent writing, organizational, and time management skills• Experience writing letters of medical necessity• Prior management or leadership experience• Ability to work independently, multi-task, prioritize and function in a team environment.• Must possess a professional, courteous, and customer oriented demeanor. Must be discrete, trustworthy, and possess high level of integrity.
Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, qualifications, or skills required for the role.
Full Time
Business Services
$83k-108k (estimate)
01/12/2023
01/18/2025
nuclearcarepartners.com
IDAHO FALLS, ID
100 - 200
2011
AMBER HAWKINS
$10M - $50M
Business Services
The following is the career advancement route for Authorization Specialist (RN) positions, which can be used as a reference in future career path planning. As an Authorization Specialist (RN), 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 (RN). You can explore the career advancement for an Authorization Specialist (RN) 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.