Top 3 Prior authorization specialist Jobs in Manistique, Mi

Prior Authorization Specialist - Business Office
SCHOOLCRAFT MEMORIAL HOSPITAL —Manistique, MI
- Full-time
- Writing skills
- Medical office experience
- Mid-level

Check out these similar jobs

Based on your search for prior authorization specialist jobs.

Prior Authorization Specialist - Business Office
SCHOOLCRAFT MEMORIAL HOSPITAL —Manistique, MI
Provide clinical knowledge and act as clinical resource to non-clinical team. Complete medical necessity and level of care reviews for requested services using…
Patient Support Specialist
Total Respiratory & Rehab —Escanaba, MI
Positions involving driving require the ability to safely operate a vehicle and may involve frequent entry into and exit from vehicle throughout the workday.
Quick Apply
3d

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
1d
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

Show more jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in manistique, mi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization specialist jobs near manistique, mi

Cash Application Specialist jobs in Chicago, IL

Prior Authorization Specialist jobs in Baltimore, MD

Prior Authorization Remote jobs in Philadelphia, PA

Prior Authorization Specialist jobs in Bel Air, MD

Prior Authorization Specialist jobs in Aurora, IL

Prior Authorization Specialist jobs in Nevada

Prior Authorization Specialist - Business Office

SCHOOLCRAFT MEMORIAL HOSPITAL -
Manistique, MI

Apply Now

Job Details

Full-time

Qualifications

Employee relationship building
High school diploma or GED

Full Job Description

POSITION SUMMARY:

Responsible for initiating and obtaining prior authorizations for procedures and medications, scheduling appointments for outpatient services; coordinates patient appointments/ orders. This position primarily works remotely.

KNOWLEDGE, SKILLS, AND ABILITIES

Ability to maintain effective working relationships with coworkers, patients, medical staff, insurance companies and the public.
Ability to take charge while remaining approachable, respectful and understanding.
Ability to communicate clearly and effectively in person, writing or by phone.
Ability to adapt to change.
Ability to organize and prioritize tasks.
Ability to operate computers, telephones, and other office equipment.
Ability to react calmly and competently in emergency situations.
Knowledge and understanding of insurance policies and benefits.
Knowledge of medical terminology.
Knowledge and understanding of insurance claim processing.
Strong organizational skills.

DUTIES & RESPONSIBILITIES:

Conduct Pre-authorizations with insurance companies for a multitude of different services.
Discuss with patients’ necessary regulations in regard to Medicare billing and other non-covered procedures.
Promote and maintain confidentiality.
Inform supervisor of potential issues with insurance or patients.
Coordinate and follows the established preauthorization review process for outpatient and inpatient services.
Timely review of prior authorization requests, both inpatient and outpatient.
Surgical/Diagnostic procedures/Therapies/DME/Infusions
Medication prior authorization requests
Other Prior Authorizations as the needs arise
Perform telephonic or electronic review of prior authorization request for appropriate care setting, following guidelines and policies and forward requests to appropriate departments.
Complete medical necessity and level of care reviews for requested services using clinical judgment. Refer to medical staff for other determinations as needed.
Provide clinical knowledge and act as clinical resource to non-clinical team.
Schedule patient appointments in timely manner once prior authorization has been approved. This includes contacting the patient with the appointment information and ensuring the patient receives the appropriate education for the scheduled event.
Provides accurate documentation in patient EMR and reporting to other agencies (i.e. health department).
Maintains accountability of patient records.
Demonstrates appropriateness in meeting objectives in age-specifics.
Performs other duties as assigned.

QUALIFICATIONS and EXPERIERNCE:

High school diploma or GED.

Business healthcare degree or 2 years’ experience working in a medical office or insurance company.

Heartsaver CPR Certified (obtain upon employment)

Apply Now

Refine Your Search

prior authorization specialist jobs in manistique, mi

Prior Authorization Specialist - Business Office

Check out these similar jobs

Explore jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in manistique, mi

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected