Description As an Prior Authorization Specialist, you will be responsible for: Determining insurance eligibility, authorization and benefit verification Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence Answer telephone and written inquires Maintain filing systems Interface with medical staff and administrative personnel Salary Range: $30.47- $47.85 /hourly Qualifications Were seeking a self-directed professional with: Working knowledge in the insurance verification process and third party verification terminology Ability to scrutinize insurance data independently and evaluate information for clarity, accuracy, and completeness Knowledge in the functional operations of third party payers and utilization review agencies to expeditiously coordinate follow-up Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out of state Medicaid, or other sponsoring agencies Knowledge of health plans with special processing requirements for emergency patients and ability to effectively communicate these requirements to physicians and administrative personnel under time-urgent conditions Proficient in basic math Proficient in Microsoft Office Suite, specifically Excel, Word, and Outlook Availability to work rotating weekends and holiday coverage Note: May subject to test qualifying skills #J-18808-Ljbffr Direct Jobs
We are a privately owned 24-hour Emergency and Specialty Referral Hospital in Charlotte NC that offers its employees a fun, supportive work environment, terrific benefits, and opportunities for growth! CARE | Charlotte Animal Referral & Emergency is seeking talented ...
...Join to apply for the Structural EIT/Inspector role at HDR . At HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected. We foster diversity, equity, and inclusion, and encourage everyone to bring their...
...Description GHR Healthcare - Travel Division is seeking a per diem / prn nurse RN ED - Emergency Department for a per diem / prn nursing job in... ...license; 2+ years relevant experience; BLS; ACLS; every other weekend / Contact (***) ***-**** to apply About GHR Healthcare -...
...divh2Concrete Finishers/Laborers And Construction Framers/Laborers/h2pLooking for experienced concrete finishers/laborers and experienced construction framers/laborers. Perform tasks involving physical labor at construction sites. May operate hand and power tools of all...