Top 51 Authorization specialist Jobs in Erlanger Ky

Pre Access-Specialist- Authorization
St. Elizabeth Healthcare —Erlanger, KY
- Full-time
- Word processing
- Mid-level
- High school diploma or GED
- Health insurance
- Tuition reimbursement
PT Med Reception/Ins. Verification Specialist
ORTHOCINCY —Florence, KY
- Overtime
- CPR Certification
- Anatomy knowledge
- OSHA
Quick Apply
8d
Prior Authorization Specialist
Riverhills Neuroscience —Cincinnati, OH
- $18 - $22 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- 1 year
- Free parking
- Profit sharing
Quick Apply
Utilization Review (UR) Specialist
NewVista Healthcare —Blue Ash, OH
- 8 hour shift
- Nursing
- RN License
- LPC
- Health savings account
- Paid holidays
Quick Apply
Utilization Review (UR) Coordinator
NewVista Healthcare —Blue Ash, OH
- Full-time
- Nursing
- Adults
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Medical Assistant
Surestep Foot & Ankle Medical Center LLC —Cincinnati, OH
- Full-time
- Bilingual
- Vital signs
- Ability to walk for extended periods
- Paid time off
Medical Billing Specialist
Best Point Education & Behavioral Health —Cincinnati, OH
- $20 - $25 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Insurance Authorization Specialist
Ensemble RCM LLC —Blue Ash, OH
- $17.00 - $18.65 an hour
- Full-time
- Office
- High school diploma or GED
- Travel
- Tuition reimbursement
Customer Service Representative- Entry Level
QUIPT HOME MEDICAL INC —Wilder, KY
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Physician Services Specialist, Surgery, Full Time, First Shift
UC Health, LLC —Cincinnati, OH
- Full-time
- Microsoft Outlook
- Medication administration
- Surgery
Quick Apply
4d
Medical Assistant
Tristate Arthritis & Rheumatology —Crestview Hills, KY
- $18 - $21 an hour
- Full-time
- Vital signs
- Medical office experience
- High school diploma or GED
- Health insurance
- Paid time off
Quick Apply
Customer Service Representative
QUIPT HOME MEDICAL INC —Wilder, KY
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Central Intake Admissions Specialist
Otterbein SeniorLife —West Chester, OH
- Microsoft Excel
- Microsoft Outlook
- Marketing
- Paid holidays
- Health insurance
Quick Apply
Clinical Services Specialist, General Surgery, Full Time, First Shift
UC Health, LLC —Cincinnati, OH
- Full-time
- Microsoft Outlook
- Medication administration
- Surgery
Quick Apply
Clinical Services Specialist, Plastics Surgery, Part Time, First Shift
UC Health, LLC —Cincinnati, OH
- Part-time
- Microsoft Outlook
- Medication administration
- Surgery
Quick Apply
Corporate Resolutions Specialist (Blue Ash, OH - Call Center)
Green Dot Corporation —Cincinnati, OH
- $37,400 - $56,200 a year
- Full-time
- Microsoft Outlook
- Mid-level
- 3 years
Physician Services Specialist, Wound Care, Full Time, First Shift
UC Health, LLC —Cincinnati, OH
- Full-time
- Microsoft Outlook
- Surgery
- Mid-level
Quick Apply
PTOT Registration Representative - Ft Wright PT/OT Center - Part Time - Days
The Christ Hospital Health Network —Fort Wright, KY
- Part-time
- High school
- Conflict management
- Entry level
Clinical Services Specialist, Full Time, First Shift
UC Health, LLC —Cincinnati, OH
- Full-time
- Microsoft Outlook
- Medication administration
- Mid-level
Quick Apply
5d
Clinical Services Specialist, Internal Medicine, Full Time, First Shift
UC Health, LLC —Cincinnati, OH
- Full-time
- Microsoft Outlook
- Medication administration
- Internal Medicine
Quick Apply
10d

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Pre Access-Specialist- Authorization

St. Elizabeth Healthcare -
Erlanger, KY

Apply Now

Job Details

Full-time

Benefits

Internal mobility program
Health insurance
Tuition reimbursement
Paid time off
Flexible schedule
Retirement plan

Qualifications

Employee relationship building
High school diploma or GED
CPT coding
Typing

Full Job Description

Engage with us for your next career opportunity. Right Here.

Job Type:

Regular

Scheduled Hours:

Why You’ll Love Working with St. Elizabeth Healthcare

At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do.

Benefits That Support You

We invest in you — personally and professionally.

Enjoy:

Competitive pay and comprehensive health coverage within the first 30 days.
Generous paid time off and flexible work schedules
Retirement savings with employer match
Tuition reimbursement and professional development opportunities
Wellness, mental health, and recognition programs
Career advancement through mentorship and internal mobility

Job Summary:

Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. The Pre-Access Specialist is a system-wide position responsible for securing a patient account from the initial interaction through the performed exam. They are responsible for the scheduling, pre-registering, verification, authorization and pre collection process. This position exists to enhance customer service, while securing accounts according to standard protocols and payer requirements.

Job Description:

Completes verification, benefit analysis, and authorization for specified OP procedures/appointments directly with the insurance payer.
Communicate schedule discrepancies with appropriate department.
Obtains accurate clinical history for appropriate pre-authorized requests.
Provide necessary clinical information and pertinent demographic information to insurance company either via web or phone call.
Requires knowledge of appropriate CPT for each procedure.
Communicate with referring office or hospital department when a discrepancy arises with procedure scheduled.
Document appropriate authorization number and valid dates for each procedure.
Begin work on all pre authorizations scheduled out 30 days.
Communicates payer requirement changes to the pre access lead or management staff.
Monitor insurance company protocols for authorization changes.
Work in conjunction with Marketing and SEP Management to provide resources needed for referring office education.
Perform eligibility and benefit analysis for all admissions, surgeries, and observation services. Obtain authorization as needed from referring physician office and verify for accuracy.
Follow individual payer matrix to ensure compliance with daily workflow process.
Use assigned online eligibility software for payer verification and notification.
Use TRACE tools as needed.
Update as needed in registration following all standard registration policies and procedures.
Work with other departments and outside entities to establish a positive working relationship that promotes cooperation and teamwork.
Communicate with Quality Management on a daily basis to ensure the appropriateness of accounts requiring precertification and follow-up by UM personnel.
Work closely with the financial counseling unit, including any vendors, in the sharing of account information to minimize potential denials and aid in the financial assistance process.
Maintain a communication network with physicians’ offices, internal departments and payers to help obtain needed information and resolve problem accounts.
Work with PFS and Revenue Cycle departments to complete retro authorization request.
Provide support and assistance with claims denial due to pre-authorized issues.
Completes point of service collection process as identified.
Documents accounts appropriately.
Adheres to Point of Service Collection policy.
Uses strong customer service skills that reflect Mission, Vision, and Values statement of the St. Elizabeth Healthcare.
Maintain strict patient confidentiality at all times
Promotes cooperation and teamwork
Speaks clearly and concisely in a courteous and friendly tone of voice.
Listens carefully to the caller, answers questions, and seeks assistance from others as needed.
Interacts with managers, co-workers, and other hospital personnel in the sharing of work-related objectives and the need for clarification and/or process improvement.
Demonstrates a personal commitment to continuous quality improvement through active participation.
Schedules and/or pre-registers OP procedures/appointments from physician’s offices, patients, or other ancillary departments via telephone inquiry, fax request or CPOE WQ.
Obtains appropriate patient demographic, insurance information and clinical information to ensure that appointments are complete and accurate.
Understands the proper use of the scheduling software.
Maintains good public relations skills to ensure a positive impression.
Conducts appointment triage at the time of scheduling to ensure the needs of patients and each clinical specialty are met.
Provides accurate and complete patient exam preparation instructions.
Avoids testing conflict with other scheduled exams in accordance with standard protocols.
Offers scheduling flexibility between all Units and considers patient convenience when making appointments.
Stays within individual departmental guidelines when scheduling daily patient caseload.
Performs “One Call” pre-registration process if speaking directly with the patient.
Utilizes automated dialer for Pre-Registration process.
Review incoming fax orders in Trace and indexes accordingly.

Additional Requirements

Required to attend monthly staff meetings, possible evening or weekend hours.

Responsible for completing annual hospital and department educational requirements.
Attends meetings and webinars as assigned.
Adhere to policy and procedures of St. Elizabeth Healthcare.
Performs other duties as assigned.

Education, Credentials, Licenses:

High School Diploma or GED

Specialized Knowledge:

PC skills, including Word and Excel
Strong Interpersonal and organization skills
Proven track record of excellent customer service skills.
Good typing skills / data entry skills
Excellent communication skills (both written and verbal)
Maintain patient confidentiality
Organization and prioritization skills

Kind and Length of Experience:

Authorization experience
1-year experience in call center, office, healthcare, or other team-oriented setting.
Excellent communication and customer service skills

FLSA Status:

Non-Exempt

Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

Apply Now

Refine Your Search

authorization specialist jobs in erlanger ky

Pre Access-Specialist- Authorization

PT Med Reception/Ins. Verification Specialist

Prior Authorization Specialist

Utilization Review (UR) Specialist

Utilization Review (UR) Coordinator

Medical Assistant

Medical Billing Specialist

Insurance Authorization Specialist

Customer Service Representative- Entry Level

Physician Services Specialist, Surgery, Full Time, First Shift

Medical Assistant

Customer Service Representative

Central Intake Admissions Specialist

Clinical Services Specialist, General Surgery, Full Time, First Shift

Clinical Services Specialist, Plastics Surgery, Part Time, First Shift

Corporate Resolutions Specialist (Blue Ash, OH - Call Center)

Physician Services Specialist, Wound Care, Full Time, First Shift

PTOT Registration Representative - Ft Wright PT/OT Center - Part Time - Days

Clinical Services Specialist, Full Time, First Shift

Clinical Services Specialist, Internal Medicine, Full Time, First Shift

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