WI3649779

1

High School Diploma/GED

High School Diploma/GED Equivalent

Unspecified

20

JOB REQUIREMENTS: This position will work 24 hrs per week Prior
Authorization Specialist Come work where we specialize in you! We have
nearly 2,000 reasons for you to consider a career with Prevea
Health-they\'re our employees. We\'re an organization that values
kindness, responsibility, inclusivity, wellness and inspiration. At
Prevea, we provide continuous education, training and support so every
member of the team contributes to our success. Together we are the best
place to get care and the best place to give care. Job Summary Providing
exceptional care for our patients as well as recognizing the value of
your co-workers is the expectation of all members of the Prevea Health
organization. All members are expected to focus on the patient\'s needs;
relate to all in a friendly, accepting manner; communicate in a positive
and professional way to patients and co workers; use time effectively
and efficiently; and demonstrate an overall high level of performance.
What you will do \* Works closely with department physicians and staff,
coding and billing staff, to ensure understanding of information needed
to obtain proper authorization for payment. \* Communicates with
patients prior to specialty consultation or surgical procedure to
provide them with information regarding their coverage. \* Identifies
what is required for Preauthorization of surgical procedures and
completes the process to minimize denial of claims. \* Preauthorization
documentation. \* Communicate with hospitals and patient on
progress/approval of Preauthorization. Education Qualifications \* High
School Diploma and/or GED Required Experience Qualifications \* 1-3
years One year of experience in a medical or insurance role Preferred
Skills and Abilities \* General computer knowledge needed to navigate
electronic medical record and for documentation. \* Excellent
organizational skills. \* Excellent communication skills and follow
through with internal and external customers. \* Knowledge of insurance
and medical terminology. \* Knowledge of CPT/ICD-9 coding useful.
Physical Demands \* Sit - Constantly \* Stand - Rarely \* Walk - Rarely
\* Drive - Rarely \* Climb (Stairs/Ladders) - Rarely \* Bend (Neck) -
Frequently \* Gross Manipulation (Hands/Arms) - Constantly \* Squat -
Rarely \* Twist/Turn (Neck) - Occasionally \* Lift/Carry 0-10 lbs. -
Rarely \* Lift/Carry 11-25 lbs. - Rarely \* Lift/Carry 26-35 lbs. -
Rarely \* Push/Pull up to 10 lbs. - Rarely \* Push/Pull 11-25 lbs. -
Rarely \* Push/Pull 26-35 lbs. - Rarely \* Reach (Above shoulder
level) - Rarely \* Reach (Below shoulder level) - Constantly \* Simple
Grasping (Hands/Arms) - Constantly \* Fine Manipulation (Hands/Arms) -
Constantly \* Gross Manipulation (Hands/Arms) - Constantly Working
Conditions \* Noise - Occasionally Hearing Requirements \* Hears
Whispers \< 3\... For full info follow application link. Prevea is an
Equal Employment Opportunity/Affirmative Action employer \*\*\*\*\*
APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/AAF728583D674CEA