Proven Remote Pre-Authorizations Rep
- The Patient Access Authorization Specialist performs insurance authorization. Functions are primarily completed via website and / or phone and include insurance verification, authorization, payor notification and ensuring that the correct date of service, facility, diagnosis and service / exam type are documented.
- The specialist may also escalate authorization requests in order to facilitate peer to peer discussions between the payor and provider or notify the provider's office of denials.
- Authorization capture is time sensitive in order to avoid delays to patient care.
- The Authorization Specialist ensures that all contact with patients, providers and payors is documented with detailed notes included for each account worked.
- Capture post service or retro authorizations or support additional functions including scheduling, registration, financial navigation, medical necessity, patient liability notification and screening.
- Work closely with clinical care teams and at times will support Access functions within the clinical care environment.
- Provide internal and external customer service support for clinicians, patients and families.
- Must be sensitive patient situations.
- Must convey a caring and professional attitude in all interactions. Partnership with Care Management.
- Authorization for urgent and emergent admission,high dollar o / p and surgical procedures
- Must have 5 years plus Pre-Authorization Experience
- Must have Hospital Experience
- Must have Epic Grand Central Experience
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Proven Remote Pre-Authorizations Rep *******************. The Patient Access Authorization Specialist performs insurance authorization. Must have 5 years plus Pre-Authorization Experience. Functions are primarily completed via website and/or phone and include insurance verification, authorization, p...
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