JOB REQUIREMENTS: Prior Authorization Specialist Come work where we
specialize in you! We have nearly 2,000 reasons for you to consider a
career with Prevea Health-they\'re our employees. We\'re an organization
that values kindness, responsibility, inclusivity, wellness and
inspiration. At Prevea, we provide continuous education, training and
support so every member of the team contributes to our success. Together
we are the best place to get care and the best place to give care. Job
Summary Providing exceptional care for our patients as well as
recognizing the value of your co-workers is the expectation of all
members of the Prevea Health organization. All members are expected to
focus on the patient\'s needs; relate to all in a friendly, accepting
manner; communicate in a positive and professional way to patients and
co workers; use time effectively and efficiently; and demonstrate an
overall high level of performance. What you will do Works closely with
department physicians and staff, coding and billing staff, to ensure
understanding of information needed to obtain proper authorization for
payment. Communicates with patients prior to specialty consultation or
surgical procedure to provide them with information regarding their
coverage. Identifies what is required for Preauthorization of surgical
procedures and completes the process to minimize denial of claims.
Preauthorization documentation. Communicate with hospitals and patient
on progress/approval of Preauthorization. Education Qualifications High
School Diploma and/or GED Required Experience Qualifications 1-3 years
One year of experience in a medical or insurance role Preferred Skills
and Abilities General computer knowledge needed to navigate electronic
medical record and for documentation. Excellent organizational skills.
Excellent communication skills and follow through with internal and
external customers. Knowledge of insurance and medical terminology.
Knowledge of CPT/ICD-9 coding useful. Physical Demands Sit - Constantly
Stand - Rarely Walk - Rarely Drive - Rarely Climb (Stairs/Ladders) -
Rarely Bend (Neck) - Frequently Gross Manipulation (Hands/Arms) -
Constantly Squat - Rarely Twist/Turn (Neck) - Occasionally Lift/Carry
0-10 lbs. - Rarely Lift/Carry 11-25 lbs. - Rarely Lift/Carry 26-35
lbs. - Rarely Push/Pull up to 10 lbs. - Rarely Push/Pull 11-25 lbs. -
Rarely Push/Pull 26-35 lbs. - Rarely Reach (Above shoulder level) -
Rarely Reach (Below shoulder level) - Constantly Simple Grasping
(Hands/Arms) - Constantly Fine Manipulation (Hands/Arms) - Constantly
Gross Manipulation (Hands/Arms) - Constantly Working Conditions Noise -
Occasionally Hearing Requirements Hears Whispers \< 3 feet - Constantly
Hears Whispers 3-8 feet - Constantly Vision Requirements Color
Discrimination - Constantly Near Vision (Correctable to Jaeger 2... For
full info follow application link. Prevea is an Equal Employment
Opportunity/Affirmative Action employer ***** APPLICATION
INSTRUCTIONS: Apply Online: ipc.us/t/6BC68531E6664857