Pre-Authorization Specialist - ON SITE! at ALASKA HEART INSTITUTE

Anchorage, Alaska, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Mar, 26

Salary

29.0

Posted On

18 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Pre-Authorization, Insurance Policies, Patient Eligibility, Medical Office Experience, Communication, Collaboration, Documentation, Clinical Notes, Liaison, Office Visits, Imaging, Cardiac Device Services, Out-Patient Procedures, In-Patient Procedures, Ambulatory Surgery Center Services, Patient Demographics

Industry

Hospitals and Health Care

Description

Job Details Job Location: Anchorage - ANCHORAGE, AK 99508 JOB TITLE: Pre Authorization Specialist DEPARTMENT: Business Office GENERAL SUMMARY OF DUTIES: This nonexempt position is responsible for obtaining pre-authorization for all Office Visits, Cardiac device services, Imaging, In-Patient, Out- Patient, Catheterization Lab, and ASC (Ambulatory Surgery Center) procedures. This job requires the application and interpretation of insurance medical and payment policies and procedures. The individual must act as an on-site liaison for all departments, referring providers, insurance carriers, and patients for all eligibility and pre-authorization/certification functions. Communicating coverage/benefit determination to patient either in-person or via phone. ESSENTIAL FUNCTIONS: (This list may not include all of the duties assigned.) Responsible for obtaining prior-authorization for all office visits, cardiac device services, imaging, In-Patient/Out- Patient procedures and services, all ASC (Ambulatory Surgery Center) services for all payer types in a timely manner. Collaborates with all team members and departments, including external providers, to ensure all patient demographic information and clinical notes are acquired prior to initiation of the prior-authorization process. Acts as on-site liaison for the ancillary and clinical departments to internal and external referring providers, insurance carriers, as well as patients Review patient eligibility, update patient demographics, document patient’s preferred facility. EDUCATION: Some college preferred. Minimum: High school diploma or equivalent Preferred Certificate/License: Certified Professional Coder (CPC) required from AAPC Experience: Minimum: One year of experience in medical office with emphasis in commercial and government prior-authorization requirements. PAY RANGE: $20-$29/hr to start (dependent upon experience) EMPLOYEE BENEFITS: Medical Dental Vision Colonial Life Elective Benefits Life Insurance Profit Sharing 401K HSA FSA Employee Assistance Program Wellness Program PTO- starting at up to 5.84 hours per pay period (increases with years of service) 8 paid holidays per year FMLA This job description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve. Qualifications EDUCATION: Minimum: High school diploma or equivalent Experience: Minimum: One year of experience in medical office with emphasis in commercial and government prior-authorization requirements.

Responsibilities

The Pre-Authorization Specialist is responsible for obtaining pre-authorization for various medical services and procedures. This includes acting as a liaison between departments, providers, insurance carriers, and patients to ensure eligibility and coverage determinations.