Pre-Arrival Authorization Specialist I
5 days ago
We are seeking a highly organized and detail-oriented Pre-Arrival Authorization Specialist I to join our team at UNC Health. As a key member of our Patient Access department, you will play a critical role in ensuring seamless patient experiences by obtaining authorizations from insurance payers prior to services being scheduled or rendered.
Key Responsibilities- Verify patient insurance coverage and obtain authorizations from payers via electronic means, phone, or the Electronic Health Record (EHR).
- Process electronic referrals, address patient account issues, and respond to billing and insurance-related inquiries in a timely manner.
- Prepare and send documents to insurance payers for pre-certifications and authorizations.
- Update referral statuses and auth/cert status in EPIC.
- Acknowledge and respond to requests for authorizations and retro authorizations.
- Escalate matters requiring attention to the Pre-Arrival Team Lead/Manager.
- Notify Utilization Review & Case Management regarding admissions requiring clinical review.
- Adhere to UNC Health Wayne - Referral Management & Financial Clearance Collections Policies.
- Provide exceptional customer service to patients and teammates.
- High School graduate or equivalent required.
- Prior experience with preauthorizations/customer service, dealing with the public, and/or healthcare organizations is strongly preferred.
- Computer literacy and proficiency with MS Office and Epic.
- Ability to prioritize and multitask, with strong organizational skills and attention to detail.
- Knowledge of Medicare/Medicaid and Commercial Insurance payers.
- Effective oral and written communication skills in English.
- Ability to work with deadlines and within timelines.
This is a full-time position with a standard 40-hour workweek. The work schedule is day job, and the location is Wayne MED.
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Authorization Specialist I
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Clinical Nutrition Specialist I
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Clinical Nutrition Specialist I
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Client Support Specialist I
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Client Support Specialist I
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Client Support Specialist I
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