What are the responsibilities and job description for the PRIOR AUTH COORDINATOR - SBPC - BILLING OFFICE position at St. Bernards Healthcare?
- JOB REQUIREMENTS
- Education
College degree with emphasis on healthcare, accounting, or business is preferred with knowledge and understanding of obtaining prior authorization for imaging studies or high school graduate with 3 years experience in medical billing, insurance denials and / or prior authorization.
- Experience
- Minimum of one year experience in customer service setting, preferably six months receptionist experience in health care setting and experience with office equipment. Ability to work independently of others and exercise good judgment. Required knowledge of Power Point, Word, Excel and Access. Must be organized, able to handle multiple tasks and demonstrate excellent verbal communications with public and staff. Prior health care experience and experience in a position of trust or confidentiality preferred. Pre-Authorization experience preferred. Two years in registration or business office is recommended.
- Physical
- This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information.
- Normal clinic environment. Close eye work. Hearing within normal range. Operates calculator, computer, telephone, copier, general office equipment. Continuous sitting. Occasional walking and bending within the work area. Lifting, carrying, pushing and pulling charts and office supplies up to 20 lbs.
- JOB SUMMARY
The Prior Authorization Co-Ordinator plays a vital role in our medical clinics, ensuring the effective and efficient processing or prior authorization of imaging services. This position requires a deep understanding of healthcare insurance policies, medical terminology and excellent communication skills. The ideal candidate will be responsible for overseeing the prior authorization team, communicating with healthcare providers, insurance companies, and patients to facilitate approvals for imaging services.
Responsibilities -Oversee the submission, tracking and follow-up of prior authorization request to insurance companies. Ensure all authorization processes comply with healthcare law, regulations and clinic policies. Act as a liaison between healthcare providers, insurance companies and patients to clarify and expedite prior authorization requests. Address and resolve complex authorization issues, including appeals for denied request.
Location: St. Bernards Healthcare · SBPC-BILLING OFFICE
Schedule: Full Time, Day Shift, M-F, 8am-4:30pm
