3 Prior Authorization Specialist (Full- Time) Jobs in Queensbury, NY
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Hudson Headwaters is Hiring a Prior Authorization Specialist (Full- Time) Near Queensbury, NY
To provide the best health care, and access to that care, for everyone in our communities.
HHHN Vision
To pioneer an innovative, sustainable and community-focused health system through comprehensive primary care and diverse partnerships
Proposed Schedule: 40 hours per week. Monday - Friday 8am-5pm.
Note: This is a remote position.
Position Summary
The Authorization Specialist ensures that authorization for various services performed in the health center(s) has been obtained from insurance companies when required. This position is also responsible for basic administrative/clerical support.
Essential Duties And ResponsibilitiesComplete Prior Authorizations which include, but are not limited to outpatient treatments, medications and some diagnostic testing (i.e. labs, pharmacy, infusions, internal procedures and Worker’s Comp)
Utilize established guidelines to ensure that all necessary information has been completely and accurately given to insurance companies in order to obtain authorization for services
Documents and provides updates in the patient’s medical record, the status of the referral and/or authorization
Responsible for verifying insurance policy benefit information, and securing payer required referrals and authorizations
Protect the confidentiality of patient’s electronic medical record in accordance with policy and procedure
Follow up in a timely manner on insurance determinations regarding submitted requests
Obtain retro authorizations as needed
Acts as a resource to all internal and external customers, offering guidance and support for authorization related questions and authorization processing problems
Adhere to the guidelines as set forth in the Networks Remote Work Program and Expectations policy on the HWEB
Enthusiastically support the Mission, Vision, and Core Values of Hudson Headwaters Health Network.
Perform additional duties and special projects as assigned
QualificationsThe requirements listed below are representative of the knowledge, skill and ability to perform the essential functions:
High School Diploma with one year of medical office experience
Familiarity with Cover My Meds preferred
Pharmacy Technician Experience PreferredPrevious Electronic Medical Record experience
Knowledge of medical terminology, diagnosis and procedure coding
Medical insurance knowledge
Strong computer competency
Demonstrated ability to manage multiple tasks and prioritize workload
Ability to work independently and be a team player
Ability to communicate effectively via mail, phone, electronic medical record and verbally
The pay rate for this position is $18.50 per hour.
Job Summary
Full Time
$39k-48k (estimate)
06/24/2024
06/26/2024
The job skills required for Prior Authorization Specialist (Full- Time) include Prior Authorization, Confidentiality, Communicates Effectively, Diagnostic Testing, etc. Having related job skills and expertise will give you an advantage when applying to be a Prior Authorization Specialist (Full- Time). 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 (Full- Time). Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Prior Authorization Specialist (Full- Time) positions, which can be used as a reference in future career path planning. As a Prior Authorization Specialist (Full- Time), 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 (Full- Time). You can explore the career advancement for a Prior Authorization Specialist (Full- Time) 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.
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