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Patient Authorization Liaison
2 months ago
The Prior Authorization Specialist acts as a crucial intermediary among patients, healthcare providers, and administrative leaders within Holy Cross Medical Center, reporting directly to the Imaging Director. This role also facilitates communication between referring physicians, hospital facilities, and other collaborative partners associated with the organization. The specialist will engage with various departments to ensure the successful acquisition of insurance approvals.
Key Qualifications:
- High School diploma or GED; 2 years of college or professional education is preferred.
- A minimum of 2 years of experience in the healthcare sector.
- Proficiency in electronic medical records is essential.
- Familiarity with online tools for obtaining prior authorizations.
- At least 1 year of experience with ICD-9 and current knowledge of ICD-10 and CPT coding.
- Demonstrated understanding of managed care plans.
- In-depth knowledge of third-party insurance processes is required.
- Intermediate to advanced computer skills, including proficiency in Windows applications and database management.
- Strong typing skills, with a minimum of 45 words per minute and a high level of accuracy.
- Understanding of insurance payer reimbursement, authorization processes, and practice management system follow-ups is advantageous.
- Ability to manage multiple tasks, work autonomously, and collaborate effectively in a team environment.
- Exemplary leadership abilities with a keen attention to detail and precision.
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