Wmh Prior Authorization Representative

2 weeks ago

Honesdale, United States Wayne Memorial Full time

Full-Time. (Days/Evenings)

Responsible for obtaining prior authorization from payers for inpatient and outpatient services provided by Wayne Memorial Hospital. This role is key to assuring proper coding of procedures, obtaining authorizations for payment and assisting with collection of reimbursement while minimizing insurance denials and bad debt balances.

**Job Requirements**
- High School graduate or equivalent required. Associate degree in Business, Finance, Health Information Management or a related field preferred.
- Requires one year of experience in healthcare, business, finance, or insurance related field. Knowledge of and/or experience in CPT and ICD coding and Medicare and third-party payer regulations and guidelines preferred.
- Requires the ability to communicate effectively, cooperatively and discreetly
- Excellent customer service skills
- Basic computer / keyboard skills
- Medical terminology preferred
- Word processing experience preferred. (WORD/EXCEL)

  • Wmh Medical Assistant

    2 weeks ago

    Honesdale, United States Wayne Memorial Full time

    Provides clinical and patient care support services to ensure the efficient operation of the medical center. **Job Requirements** Graduate from an approved Medical Assistant education program, or Equivalent combination of education and experience. Prior Medical Assistant experience preferred.

  • Wmh Quality and Risk Manager

    1 month ago

    Honesdale, United States Wayne Memorial Hospital Full time

    Provides assistance to the Director of Risk/Corporate Compliance and is responsible for supporting the quality, risk and compliance programs for the hospital. In addition, responsible for duties of patients representative and the overall hospital quality program. Will assist in providing day to day management of administrative services. Participates in...

  • Wmh Quality and Risk Manager

    1 month ago

    Honesdale, United States Wayne Memorial Full time

    Provides assistance to the Director of Risk/Corporate Compliance and is responsible for supporting the quality, risk and compliance programs for the hospital. In addition, responsible for duties of patients representative and the overall hospital quality program. Will assist in providing day to day management of administrative services. Participates in...

  • Wmh Switchboard Operator

    4 weeks ago

    Honesdale, United States Wayne Memorial Full time

    Per diem **Job Requirements** Ability to communicate effectively; Excellent interpersonal skills; Prior switchboard experience and computer skills preferred.

  • WMH Registration Team Lead

    5 days ago

    Honesdale, United States Wayne Memorial Community Health Centers Full time

    Description Assist supervisor in the oversight of the Registration area to ensure accurate demographic and insurance carrier data is secured at the time of service in the Outpatient area and Emergency Room. The position is also responsible for monitoring the quality/integrity of all registration functions along with ensuring exceptional customer service is...

  • County Caseworker 1

    2 weeks ago

    Honesdale, United States Commonwealth of Pennsylvania Full time

    THE POSITION Are you looking for a professional career with a strong focus on serving the community while still maintaining the balance of home, work and life as a parent? This position does just that. You will work within the schools as a professional mental health liaison and will have the summers off as this 10-month position follows the school year...