2 Prior Authorizations - Primary Care Jobs in Watertown, SD
Prairie Lakes Healthcare System is Hiring a Prior Authorizations - Primary Care Near Watertown, SD
- Assists patients with insurance related questions and problems such as balances and questions on charges, corrects insurance computer screens, and assists patients in filing insurance claims and completing insurance forms.
- Processes Medicare and Welfare account transfers, denials, missing numbers, supplement claims and bulletins.
- Counsels patients regarding financial responsibilities, aids in making a workable payment arrangement.
- Responsible for assuring that prior authorization for medical services, including testing, procedures, surgery, and medications is completed and confirmed. Contacts third party payer to determine appropriate prior authorization process.
- Reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc. Reviews professional services denials; works with clinics and third party payers on appeal process.
- Sends statements to counties for payment and sends itemized statements to patients upon request.
- Registers patients, sets up new patient accounts, checks insurance card against patient coverage on computer screen, updates information; verifies patient address and phone number and ensures completion of all areas on patient information screens, photocopies insurance cards, determines method of payment for appointments, collects co-payments, payment arrangement payments and writes receipts. Verifies necessity for referral and assists in obtaining referral or pre-certification information.
- Performs related duties to include directing patients to appropriate physician wing, answering switchboard calls, and directing calls to appropriate location. Performs related duties to include answer patient correspondence, and sorting mail for the department.
- Other duties as assigned
- Flexible Spending Account
- Roth IRA retirement plan
- Employee Assistance Program for mental health
- Education Loan Program
- Community discounts including the Prairie Lakes Wellness Center
Job Summary
Full Time
$36k-44k (estimate)
05/31/2024
08/24/2024
prairielakes.com
WATERTOWN, SD
25 - 50
1986
<$5M
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About Prairie Lakes Healthcare System
Prairie Lakes Healthcare System is a leader in regional healthcare for northeastern South Dakota and western Minnesota. Caring for a ten-county service area of 90,000 people, the health professionals of Prairie Lakes are dedicated to excellence. That commitment has made Prairie Lakes one of the most innovative rural healthcare systems in the nation. Prairie Lakes has been a dynamic model for rural health, achieving consistently high scores for value and quality. We've served as a "show site" for patient care technology and diagnostic equipment, and we're unchallenged in our uncompromising care... for patients and their families. Healthcare is constantly changing, and we believe not only in keeping up with those changes, but keeping ahead of them. That's one of the reasons we offer a wide variety of healthcare services with advanced equipment. It's why we seek out the most skilled physicians and compassionate staff. It's because our commitment to quality healthcare is our first priority. It's what our patients deserve.
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