Prior Authorization Specialist

Advocate Health and Hospitals Corporation • Winston Salem, NC

10d • Hybrid

About The Position

The incumbent for this position is responsible for doing follow-up for the SCORE Prior Authorization team. This position will be responsible for calling third-party insurance companies to check prior authorization status, checking third-party payor portal for prior authorization status, handling facsimiles related to prior authorization status, and scan correspondence into the patient's electronic medical record.

Requirements

• High school and two years' experience in third party payers, healthcare administrative support or general clerical experience.
• Strong oral and written communication skills
• Ability to exercise independent judgment in unusual or stressful situations
• Strong computer skills
• Ability to establish and maintain effective working relationships

Nice To Haves

• Authorization process experience preferred.
• Associate or bachelor's degree preferred.

Responsibilities

• Expedites sorting of surgical cases and checks status of prior authorization with shortest lead times.
• Documents prior authorization activities appropriately and communicates necessary information to SCORE Prior Authorization team.
• Evaluates processes, problem solving, and participates in departmental continuous improvement programs to enhance workflow processes and patient-centered outcomes.
• Maintains a working knowledge of computer systems supported by the department.
• Prioritizes and organizes daily work to ensure completion on time.
• Maintains professional development.
• Assists management in developing training materials.
• Performs other duties as assigned.

Benefits

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED