Senior Practice Assistant, Pain Prior Auth Specialist

2 days ago


Chestnut Hill, United States Brigham and Women's Hospital Full time
Job Summary

We are seeking a highly skilled and detail-oriented Prior Authorization Specialist to join our team at Brigham and Women's Hospital. As a Prior Authorization Specialist, you will play a critical role in ensuring that patients receive the necessary approvals for their medical procedures.

Key Responsibilities
  • Process prior authorizations for pain management procedures, ensuring timely and accurate submissions to insurance companies.
  • Collaborate with physicians, clinicians, and office staff to gather necessary clinical information and documentation.
  • Verify insurance coverage and benefits, and communicate with insurance companies to resolve any issues or discrepancies.
  • Monitor pending cases to ensure approvals are obtained prior to visit, and inform doctors of any additional clinical information required.
  • Adhere to customer service standards, demonstrating professionalism, alertness, and helpfulness to patients, visitors, and staff members.
  • Stay current with payer changes in authorization requirements and restrictions, and maintain a daily workflow of Ontrac work lists and Epic auth/cert fields and notes.
Requirements
  • Minimum of a high school diploma or GED.
  • Minimum one year applicable work experience required.
  • Some additional training in office systems or other post-high school education preferred.
What We Offer

Brigham and Women's Hospital is an Affirmative Action Employer, committed to diversity and inclusion. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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