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Specialist Insurance Authorizations
4 months ago
As a Specialist, Insurance Authorization, for Catholic Medical Center (CMC), you will be responsible for identifying authorization needs by managing schedules across various ancillary departments. Your role involves gathering and entering accurate demographic and financial data, creating authorizations as needed, and corresponding with offices to ensure seamless processes. Your attention to detail and commitment to patient access policies will contribute to the overall efficiency of our healthcare system.
What You'll Do:
•Gather, verify, and enter accurate demographic and financial data for registered patients.
•Review authorizations for various department services, ensuring compliance with policies.
•Provide cross-coverage assistance for pre-registration as needed.
•Work towards achieving pre-determined Key Performance Indicators (KPIs) for departmental days ahead, ensuring timely authorizations.
•Assist in updating department manuals for new codes and workflow changes, reporting to the Supervisor.
•Understand different insurances and their nuances, providing updates to the department on any changes in the authorization process.
•Participate in staff meetings, provide updates on insurance changes, and contribute to the Admissions Quality Management Program.
Qualifications
What you'll bring:
•Previous experience in patient access or a related field is preferred.
•Familiarity with insurance processes and authorization requirements.
•Strong attention to detail and accuracy.
•Excellent organizational and communication skills.
•Ability to work collaboratively with various departments.
•High school diploma or equivalent
Who we are:
Catholic Medical Center ("CMC") is a nonprofit, regional health system committed to delivering the highest quality and most advanced healthcare to patients across New Hampshire. CMC is the home of the nationally-renowned New England Heart & Vascular Institute, rated among the top cardiovascular programs in the country.
We are driven by our mission to offer health, healing, and hope to every individual who seeks our care, and we live by our values of Respect, Integrity, Compassion, and Commitment.
CMC is proud to be named to the Forbes list of America's Best-in-State Employers for two consecutive years. This prestigious award is presented by Forbes and Statista, Inc., and is based on 2.1 million employer recommendations from employees working for companies with more than 500 employees in the United States.
With our award-winning clinical programs, primary care network and dedication to community, CMC is fostering a healthier New Hampshire, every day.
Catholic Medical Center is an equal opportunity employer and we embrace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
