IHI - PRIOR AUTHORIZATION SPECIALIST
About The Position
Mountain View Hospital is looking for a Prior Authorization Specialist to join our Team! JOB SUMMARY: The Prior Authorization Specialist will obtain prior authorizations for diagnostic imaging, cardiac imaging, Veterans Administration authorizations, and referral authorizations for some specialist appointments. This position will secure the prior authorization and notify the rendering party in a timely manner, so our patients receive the services needed without delay. About Mountain View: Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice. Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.
Requirements
- High school diploma or general education degree (GED).
- Minimum of two years healthcare experience in medical billing, medical prior authorizations, or health insurance.
- Working knowledge of ICD-10, CPT coding.
- Experience handling VA authorizations.
- Ability to read and interpret documents such as patient statements, safety rules, operating and maintenance instructions, and procedure manuals.
- Ability to write routine reports and correspondence.
- Ability to speak effectively before groups of customers or employees of the organization.
- Ability to use an EMR system and operate basic computer functions and software.
- Ability to apply common sense to carry out instructions furnished in written, oral, or diagram form.
- Ability to deal with problems involving several concrete variables in standardized situations.
- Ability to work well with others
Responsibilities
- obtain prior authorizations for diagnostic imaging
- obtain prior authorizations for cardiac imaging
- obtain Veterans Administration authorizations
- obtain referral authorizations for some specialist appointments
- secure the prior authorization and notify the rendering party in a timely manner
Benefits
- Medical, Dental and Vision Insurance
- Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
- Retirement Plans (401K with up to 6% match)
- Earned Quarterly Bonus Program
- Education Reimbursement Program
- Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
