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1 Prior Authorization Specialist Job in Lewistown, MT

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Central Montana Medical Center
Lewistown, MT | Full Time
$36k-43k (estimate)
0 Months Ago
Prior Authorization Specialist
$36k-43k (estimate)
Full Time 0 Months Ago
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Central Montana Medical Center is Hiring a Prior Authorization Specialist Near Lewistown, MT

This position requires a self- directed and organized individual to complete tasks in a timely matter.
Clinic providers rely on this person to follow up with patients on referrals and authorizations. Needs
to be alert to any concerns voiced by patients and their family.
Continued employment and raises in this position are dependent upon Central Montana Medical
Center's fiscal viability and:•
Actions and communications that contribute to a team concept and create a
positive environment for all customers•
Acceptable performance of essential and all job duties•
Acceptable attendance record•
Accountability for safety to self, patients, visitors and all customers, and care of
equipment and building•
Adherence to departmental and facility policies and procedures, education
requirements, compliance monitoring and reporting, and CMMC Code of
Conduct•
Accountability for the consequences of own actions•
Physical and emotional ability to perform essential functions•
Acceptable background investigation results if required for position
Minimum Education, Experience, Licensure, Certification required:
Must be self-motivated, able to organize tasks and prioritize.
Basic medical terminology.
Experience with insurance company prior authorizations preferred.
ESSENTIAL FUNCTIONS/DUTIES:
(Must be able to perform with or without accommodation)
1 Obtains prior authorizations for ancillary services and prescriptive medications for CMMC-

facility wide & visiting/referring physicians.
2 Schedules referrals with specialist for CMMC Clinic providers.
3 Follow up on referrals with the provider office and patient to make sure the appointments are

scheduled in a timely matter.
4 Other duties as assigned.
Knowledge, Skills, Abilities:
Demonstrates excellent skills in public speaking
Ability to communicate and effectively work with hospital personnel, medical staff, media
representatives, business vendors, community leaders
Knowledge of community and its citizens
Skills in computer software such as Word, etc.
Ability to adapt to fluctuations in workload and work efficiently and effectively under stressful conditions.
Willingness to assume additional duties when requested and seek guidance and direction, when
needed, for performance of duties and ability to recognize, establish and respond to priorities.
OCCUPATIONAL EPOSURE for this position:

Category I Direct contact with blood or other bodily fluid to which
universal precautions apply

x Category II Activity performed without blood/bodily fluids exposure, but
exposure may occur in emergency

Category III Task/activity does not ordinarily entail predictable exposure
to blood/bodily fluids

Referral Staff
OTHER EPOSURE for this position:

Radiation
Noise
Other (Specify)

PHYSICAL DEMANDS:
(Essential functions strength rating for position - see Job Analysis)
x Sedentary Exert up to 10# occasionally or negligible force frequently
Light Exert up to 20# occasionally, < 10# frequently or negligible

force constantly
Medium Exert up to 50# occasionally, up to 25# or up to 10#

constantly
Heavy Exert up to 100# occasionally, up to 50# frequently or up to

20# constantly
Very Heavy Exert > 100# occasionally, > 50# frequently or

> 20# constantly

Job Summary

JOB TYPE

Full Time

SALARY

$36k-43k (estimate)

POST DATE

06/24/2023

EXPIRATION DATE

07/18/2024

WEBSITE

cmmc.fastcommand.com

HEADQUARTERS

Lewistown, MT

SIZE

<25

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The job skills required for Prior Authorization Specialist include Prior Authorization, etc. Having related job skills and expertise will give you an advantage when applying to be a Prior Authorization Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Prior Authorization Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Prior Authorization Specialist positions, which can be used as a reference in future career path planning. As a Prior Authorization Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Prior Authorization Specialist. You can explore the career advancement for a Prior Authorization Specialist below and select your interested title to get hiring information.

If you are interested in becoming a Prior Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Prior Authorization Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Prior Authorization Specialist job description and responsibilities

Request, follow up and secure prior-authorizations prior to services being performed.

04/09/2022: Laramie, WY

Receive requests for pre-authorizations and ensure that they are properly and closely monitored.

03/28/2022: Schenectady, NY

Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.

02/27/2022: Wichita, KS

Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.

04/08/2022: Altus, OK

Reported to supervisor to assure accurate capture of services needing authorization.

02/05/2022: Dothan, AL

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Prior Authorization Specialist jobs

Prior Authorization Specialist must have excellent computer skills including Excel, Word, and Internet use.

02/12/2022: New Britain, CT

A good Prior Authorization Specialist are those who are detail oriented with above average organizational skills.

03/28/2022: Galveston, TX

Basic understanding of human anatomy, specifically musculoskeletal would also give you benefits for this role.

04/04/2022: Lebanon, PA

Some experience in medical billing or insurance authorization are strongly preferred by most employers.

03/10/2022: Jamestown, NY

Licenses and certifications are not usually required to work as a prior authorization specialist.

04/02/2022: Mcallen, TX

Step 3: View the best colleges and universities for Prior Authorization Specialist.

Butler University
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