Prior Authorization Specialist , Diagnostic Imaging

Description

FULL TIME DAYS: Mon – Fri: 8am – 4:30pm.

Performs with minimum direction and considerable latitude for independent judgement, obtains prior authorizations for both standard and complex requests.

Provides multiple & complex details to insurance carrier by anticipating their questions when reviewing & retrieving relevant info from the electronic medical record.

Responsible for planning, execution, appeals and efficient follow through on all aspects of the process which as direct, multifaceted impact (quality, financial, patient satisfaction, etc.) on patient scheduling, treatment, care and follow up.

May train and coordinate activities of peers or support staff.

Qualifications:

Required Associate’s degree in Medical, Secretarial or related field & a minimum of 3years of relevant exp.; or an equivalent combination of education & experience.

Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records, preferred.

Demonstrated customer relations skills.

Pay Range: $19.45 – $24.00

Starting Pay: Based on Experience

Thompson Health is an EOE encouraging women, minorities, individuals with disabilities and veterans to apply

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)