Prior Authorization and Verification Specilist

Griffin Hospital•Derby, CT
•$18 - $28

About The Position

The Prior Authorization and Verification Specialist ensures that payers are prepared to reimburse Griffin Hospital for scheduled services in accordance with payer-provider contracts. The specialist contacts payers to request service authorization and may collect clinical, financial, and/or demographic information from patients as needed.

Requirements

  • At least 5 years of experience in healthcare performing related tasks.
  • Excellent communication and customer service skills.
  • Familiarity with medical terminology and healthcare insurance processes.
  • Strong attention to detail.
  • Ability to prioritize and multitask.

Nice To Haves

  • Proficiency in the use of healthcare information systems.

Responsibilities

  • Ensure payers are prepared to reimburse Griffin Hospital for scheduled services in accordance with payer-provider contracts.
  • Contact payers to request service authorization.
  • Collect clinical, financial, and/or demographic information from patients as needed.
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