PRE AUTHORIZATION COORDINATOR - CARDIOLOGY CLINIC - BATESVILLE

St. Bernards Healthcare • Batesville, AR

104d

About The Position

The Pre-Authorization Reviewer is responsible for collecting appropriate pre-authorization information and verifying coverage of patients admitted under group or private insurance plans. This role requires the ability to converse with insurance company and review agency representatives and possess communication skills to provide needed information in a clear and concise manner. The Pre-Authorization Reviewer will work closely with Business Office, Medical Records, Scheduling, Registration, Case Management/Social Work staff, and Administration to assure the insurance process and utilization review flows smoothly. Additionally, the position involves maintaining good relations with clinics and clinical staff in a positive, professional manner and assisting with special projects. The role also includes faxing clinical information to insurance companies as needed.

Requirements

• College degree with emphasis on healthcare, accounting, or business is preferred; or a high school graduate with registration or business office experience.
• Pre-Authorization experience preferred.
• Two years in registration or business office is recommended.

Responsibilities

• Collect appropriate pre-authorization information and verify coverage of patients under insurance plans.
• Communicate with insurance company and review agency representatives.
• Provide information from insurance companies to medical center departments or Skilled Nursing Facilities in a timely manner.
• Work closely with Business Office, Medical Records, Scheduling, Registration, Case Management/Social Work staff, and Administration.
• Maintain good relations with clinics and clinical staff.
• Assist with special projects.
• Fax clinical information to insurance companies as needed.

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED