Prior Authorization Specialist , Diagnostic Imaging
About The Position
Performs with minimum direction and considerable latitude for independent judgement, obtains prior authorizations for both standard and complex requests. Provides multiple & complex details to insurance carrier by anticipating their questions when reviewing & retrieving relevant info from the electronic medical record. Responsible for planning, execution, appeals and efficient follow through on all aspects of the process which as direct, multifaceted impact (quality, financial, patient satisfaction, etc.) on patient scheduling, treatment, care and follow up. May train and coordinate activities of peers or support staff. Thompson Health has a culture of empowerment. At Thompson, interdisciplinary teams come together to improve care, your suggestions are welcomed and your ideas are part of the solution. Three of our executives have an RN background so we understand the importance of the patient experience! Focus on CARES values : Commitment, Action, Respect, Excellence, and Service Focus on Employee Wellness : Biometric screenings, Wellness programs, Onsite gym, Zen Room, Community Shared Agriculture program, Access to Success Coach Staff Recognition platforms : Shining Stars, CARESCount website
Requirements
- Associate’s degree in Medical, Secretarial or related field & a minimum of 3years of relevant exp.; or an equivalent combination of education & experience.
- Demonstrated customer relations skills.
Nice To Haves
- Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records, preferred.
Responsibilities
- Obtains prior authorizations for both standard and complex requests.
- Provides multiple & complex details to insurance carrier by anticipating their questions when reviewing & retrieving relevant info from the electronic medical record.
- Responsible for planning, execution, appeals and efficient follow through on all aspects of the process which as direct, multifaceted impact (quality, financial, patient satisfaction, etc.) on patient scheduling, treatment, care and follow up.
- May train and coordinate activities of peers or support staff.
Benefits
- Health, dental, vision insurance
- Tuition reimbursement up to $6000/year
- Contribution and match on Retirement Plan
- Four weeks paid time off
- Access to Success coaches
- Free parking
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
