Prior Authorization Specialist
Northern NV HIV Outpatient PR - Reno, Nevada, United States, 89550Work at Northern NV HIV Outpatient PR
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Overview
Please note, employers may close jobs on the website at any time.SUMMARY:The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience by securing authorizations for all scheduled services.The Prior Authorization Specialist is responsible for obtaining and verifying prior authorizations from insurance payers for medical health services.
Prior to a patient's treatment, the Prior Authorization Specialist reviews patient insurance and clinical documents and contacts payers to receive prior authorization from the insurance payer. Authorization Specialists are responsible for verifying the treatment is authorized and ensuring that required payer documentation and authorization records are on file.Northern Nevada HOPES is a Federally Qualified Health Center and Patient Centered Medical Home.MINIMUM/PREFERRED REQUIREMENTS:High school diploma or General Education Development (GED) equivalent required.Valid BLS required prior to hire, per HRSA compliance.Knowledge and/or work experience related to medical procedures, third-party payors, copays, deductibles, and authorizations.Strong ability to navigate and research information on payer websites and payer documentation and speak with payer representatives over the phone.Experience working with insurance payers and obtaining prior authorizations.Strong computer skills, including Microsoft Office/Outlook/Word/Excel skills.Ability to learn new software quickly.Knowledge of medical terminology and processes.Extremely detail-oriented.Ability to work on short deadlines.Ability to multi-task.Strong time management and organizational skills.We are a Drug-Free Workplace and utilize E-Verify to confirm work eligibility.BENEFITS:Named one of the Best Places to Work in Northern Nevada in 2015, 2018, and 2019, we offer a great deal of attention to ensuring our employees have work/life balance and the opportunity to grow and develop their careers. We offer a second-to-none benefits package (where there are free options for employee health, vision, dental, and basic life insurance for full-time employees), very competitive compensation, generous paid time off, and a chance to partner with amazing care providers to change lives.
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