Details
 

08/07/2018

Full Time Prior Authorization Specialist

Wayne County

Busy Oncology Office in Wayne County is looking to hire a
full time Prior Authorization Specialist.

Description:
The Prior Authorization specialist is responsible for referral processing, providing accurate and complete data input for pre-authorization requests and for providing excellent customer service for two busy oncology clinics. You will work at each location 2 days weekly and alternate the 5^th day. Will report directly to the practice manager.

Essential Duties:

• Provides groups with preauthorization numbers as needed to ensure payment for services.  Responsible for review and input of referral data.  Verifies insurance.  Acts as a contact for payors for preauthorization issues.
• Inputs referral data into the electronic medical records as indicated and follow established procedures.   Verifies insurance and obtains preauthorization services from all insurance providers requiring preauthorization.
• Inputs information into the documentation system.
• Actively support departmental and corporate strategic plans by supporting QA and QI initiatives.
• Answers calls from physician offices, hospitals, nurses and patients using exemplary customer service skills. 

Standard Qualifications:

• Education: High school diploma or equivalent required.  Associate's degree preferred.
• Experience: Oncology experience preferred.  Billing experience or prior authorization experience preferred.
• Skills & Abilities: Proficient in medical terminology.  Demonstrates working knowledge of health care industry, particularly knowledge of Oncology and third party payor guidelines and Federal regulations. 

For more information or to apply:
Please forward resumes to Bettinna.signori@beaumont.org.

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