Prior Authorization Coordinator

Scheduled Weekly Hours: 0

-

Obtains authorization numbers from insurance companies for imaging exams as required.

Obtains authorization numbers from insurance companies for imaging procedures ordered as required.

Completes regular audits and resolves issues.

Works with multiple insurance carriers/vendors and keeps current with any and all changes as they relate to prior authorization.

Communicates / interacts with specific divisions in the ASG regarding approved or denied prior authorizations.

Communicates with Insurance Verification, the Central Billing Office and other Departments in order to resolve prior authorization issues.

Manages the daily “Missing Prior Authorization” report received from Insurance Verification.

Coordinates process for authorization using defined best practices; specifically, internet applications.

Position Qualifications: • High School diploma and 2-3 years of medical secretarial/administrative support experience.

 Experience/Skills: Required: • 6 -12 months of prior authorization experience • Microsoft Office and internet skills required. • Good customer service skills. Ability to work in a team environment.

Preferred:  Prior preauthorization experience.

Age Specific Criteria: Ability to effectively communicate with all age levels served within the scope of the position/assigned areas.

-

Salary Range: $16.63-$24.99

-

Salary Range Details

The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set, and education. This is not inclusive of the value Sturdy Health’s benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.

-

Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.