Top 2 Prior authorization specialist Jobs in Gillette, Wy

Admissions Services Specialist Acute-PRN
United States —United States
- PRN
- Nursing
- Addiction Medicine
- RN License

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Admissions Services Specialist Acute-PRN
United States —United States
Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in…

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Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
Quick Apply
BH Insurance/Precert Specialist
Nationwide Children's Hospital —Columbus, OH
CPR certification (based on position and as determined by manager). Obtains insurance prior authorization as needed and documents the verification of benefits…

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Admissions Services Specialist Acute-PRN

United States -
United States

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Job Details

Qualifications

Customer inquiry handling
Healthcare referral management
Client referral services
Sales management systems proficiency
CRM system proficiency
Productivity software

Full Job Description

Overview:

Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast.

This position is 100% remote. PRN

Highlights of this role include:

Ability to verify benefits information for assigned facility.
Experience monitoring and processing patient referrals (may include fax referrals).
Respond to inquiries about facilities within policy timeframes.
Support Acadia Healthcare admissions departments throughout the country.

As one of the nation's leaders in treating individuals with acute co-occurring mood, addiction, and trauma, Acadia Healthcare places a strong emphasis on our admissions & intake functions to allow us to help every possible person in need.

This person will be supporting Acadia Acute Admissions departments around the country in a remote capacity.

Responsibilities:

ESSENTIAL FUNCTIONS:

Manage Referral Management Portals
Monitor all faxed referrals
Monitor all webforms and call center handoffs/rollover referrals
Utilize facility admissions/exclusionary criteria to process incoming types of referrals
Respond to inquiries about the facility within facility policy timeframes.
Document calls inside of Salesforce and follow-up as needed
Complete Prior Authorization
Pre-Admit the patients in billing system
Coordinate with local admissions department regarding bed availability
Facilitate intake, admissions, and utilization review process for incoming patients.
Perform insurance benefit verifications, disseminating the information to appropriate internal staff.
Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals.
Coordinate admission and transfer between levels of care within the facility.
Communicate projected admissions to designated internal representative in a timely manner.
Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission.

STANDARD EXPECTATIONS:

Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality.
Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team.

Qualifications:

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

Bachelor’s or Master’s degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field; in some states, RN, LVN/LPN
Knowledge of admission/referral processes, techniques, and tools
Familiarity with behavioral health issues and services
Solid understanding of financial principles and insurance reimbursement practices
Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates.

SUPERVISORY REQUIREMENTS:

This position is an Individual Contributor

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

AHCORP

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prior authorization specialist jobs in gillette, wy

Admissions Services Specialist Acute-PRN

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