6 Prior Authorization Specialist Jobs in Saint Louis, MO
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St. Louis Heart & Vascular is Hiring a Prior Authorization Specialist Near Saint Louis, MO
SUMMARY:
Under general supervision, the prior authorization/triage specialist will be responsible for prior authorization process in relations to prescription approval, assisting with chart prep for each individual locations, and assist in completing the refills.
ESSENTIAL FUNCTIONS (ROLES AND RESPONSIBILITIES):
- Provide the necessary medical information to insurance companies to obtain authorizations for medication.
- Communicate effectively with insurance companies, providers, pharmacies, and patients regarding prior authorizations.
- Document all interactions with insurance companies, providers, pharmacies and patients.
- Call and verify eligibility and benefits with insurance companies.
- Investigate if medication was medically necessary to be covered by insurance companies through contact with doctors, nurses and pharmacists and submit for approval.
- Verify insurance coverage as well as having knowledge of submitting authorizations to insurance companies so patients can have prescriptions when needed.
- Assist the Office RN on chart prep at each locations.
- Assist in completing .refills in Centricity and Faxcom.
- Assist in organizing .triage for the nurses to better manage workload.
- Other duties as assigned.
QUALIFICATIONS/REQUIREMENTS/COMPETENCIES:
- High school or GED required.
- Must be able to travel to all SLHV locations as needed.
- Must have at least 1 year prescription/medication prior authorization experience. Highly prefer in Cardiology experience.
- Computer knowledge required, electronic medical records (EMR) highly preferred.
- LPN license or Certified medical assistant knowledge preferred. Medical terminology required.
- Must have excellent customer service skills.
- Must be detailed oriented and able to multi-task.
- Excellent oral and written communication skills.
- Must be self-motivated individual.
- Strong inter-personal skills.
- Able to work independently with minimal guidance and as part of a team.
- Multilingual and American Sign Language (ASL) plus.
WORK ENVIRONMENT:
- Regular medical office environment.
- Must have ability to walk, sit, bend, and lift up to 10 pounds.
- Must be flexible and work overtime as needed.
Job Summary
Full Time
Ambulatory Healthcare Services
$39k-47k (estimate)
03/22/2024
05/08/2024
slhv.com
SAINT LOUIS, MO
<25
1993
HARVEY SEROTA MD
$10M - $50M
Ambulatory Healthcare Services
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About St. Louis Heart & Vascular
Welcome to the new age of healthcare. Serving the St. Louis area with multiple locations, we pride ourselves on practicing state-of-the-art cardiovascular care while employing a modern electronic medical record system. Our staff enjoy the thrill of helping others, and our physicians are both accomplished and compassionate. We are dedicated to improving the outcomes and lives of our patients. We can accomodate patients from a variety of linguistic backgrounds due to a combination of language proficiencies in English, Hebrew, Hindi, Punjabi, and Urdu. Please visit our website at http://slhv.com ...to learn more about: Our Medical Services Our Accepted Insurances Our Patient Resource Center Our Patient Education Information about our Physicians Our Office Locations
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The job skills required for Prior Authorization Specialist include Prior Authorization, Customer Service, Communicates Effectively, Written Communication, 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.
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