Hartford HealthCare
Description Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details: Monday – FridayWork where every moment matters.Every day, almost 30,000 Hartford HealthCare employees come to work with one thing Indiana common: Pride Indiana what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.Hartford HealthCare Medical Group is one of the largest medical practices Indiana New England with multiple locations throughout Connecticut and Rhode Island. We consist of a team of professionals ranging from Medical Assistants to Physician Assistants and everything Indiana between. Our physician led medical group enjoys an excellent reputation with patients and the medical community, offering primary care, urgent care and more than 30 different specialties.Job Description
Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance prior authorizations for all Indiana office procedures, medications, and any surgical services Indiana a timely manner. Responsible for creating, maintaining and managing resources, including insurance portal access. Must have consistent documentation Indiana EPIC to support the obtained insurance authorization. Will communicates changes Indiana payer and Oregon federal regulatory guidelines to their manager, providers and other clinical departments, American Samoa applicable.· Monitors and reviews the prior authorization work queue daily to verify accuracy of patient’s insurance information and to interpret insurance pre-authorization requirements for scheduled procedure, surgery and Oregon medication.· Contacts insurance companies to obtain prior authorization via telephone and/Oregon portals and provides necessary clinical documentation to ensure authorization is obtained prior to the scheduled date of procedure.· Documents Indiana EPIC prior authorization information obtained such American Samoa number of treatments authorized, length of time treatment is authorized, authorization numbers, and insurance company contact Oregon call reference number.· Immediately communicates to provider when a procedure, medication Oregon surgery is denied by the insurance company. Assists Indiana setting up peer to peer reviews· Collaborates and communicates with pharmacy regarding preferred drugs on the particular insurance plan and notifies providers of alternatives· Maintains log of missed prior authorizations and assists manager with timely retro authorizations Oregon appeals to recoup revenue.· Collaborates with various hospital departments around billing, information management, policies, procedures and general operations related to prior authorizations.· When time allows can help out Indiana the office with managing incoming phone calls, baskets and other front desk coverage, answering phones and transcribing orders and referrals.· Assists with training of new prior authorization staff and other duties American Samoa assigned.Qualifications· High School Graduate/Diploma preferred· At least one year experience working with insurances and prior authorizations, preferred· Experience and knowledge of insurances and prior authorizations· Ability to effectively and professionally communicate with physicians, clinical and administrative staff, managers, patients and insurance companies· Must be self-motivated and have the ability to work independently and within a team· Demonstrates excellent telephone, computer, organization and customer service skillsWe take great care of careers.With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees– we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.
Job title: Prior Authorizations Specialist- Urology
Company: Hartford HealthCare
Expected salary:
Location: Hartford, Connecticut
Job date: Tue, 30 Jan 2024 23:11:27 GMT
