Prior Authorization and Verification Specilist

Griffin Health Services • Derby, CT

15h

About The Position

MAIN FUNCTION: The prior authorization specialist is responsible for ensuring that payers are prepared to reimburse Griffin Hospital for scheduled services in accordance with the payer-provider contract. The Authorization Specialist will contact the payers to request service authorization and may collect clinical, financial, and/or demographic information from patients as needed.

Requirements

• Associate degree in healthcare or business administration and/or related coursework, or comparable experience.
• At least 5 years of experience in a 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 preferred.

Responsibilities

• ensuring that payers are prepared to reimburse Griffin Hospital for scheduled services in accordance with the payer-provider contract.
• contact the payers to request service authorization
• collect clinical, financial, and/or demographic information from patients as needed.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree