What are the responsibilities and job description for the Prior Authorization Specialist position at Avita Health System?
Company Description
Avita Health System is a nonprofit, patient-centered health care provider in North Central Ohio, established in 2011 as the parent company of Bucyrus and Galion Hospitals. With the opening of its third hospital in Ontario in 2017, Avita now operates dozens of healthcare clinics in Crawford and Richland counties, employing over 2,000 staff and 120 medical providers. Committed to improving health and wellbeing, Avita offers an extraordinary patient experience and ranks highly among regional and national health systems. As an independent, locally-governed entity, Avita values charitable giving and provides substantial financial assistance to patients in need.
Role Description
This is a full-time on-site role for a Prior Authorization Specialist, located in Crestline, OH. The Prior Authorization Specialist will be responsible for verifying benefits, obtaining prior authorizations for procedures and medications, and coordinating with healthcare providers. The role involves reviewing clinical documentation, liaising with insurance companies, maintaining accurate records, and ensuring compliance with policies and regulations.
Qualifications
- Experience in verifying benefits and obtaining prior authorizations
- Proficiency in reviewing clinical documentation and medical terminology
- Strong communication and coordination skills with healthcare providers and insurance companies
- Attention to detail and organizational skills for maintaining accurate records
- Knowledge of compliance with healthcare policies and regulations
- Strong computer skills and familiarity with electronic health records
- Ability to work on-site in Crestline, OH
- Experience in the healthcare industry is a plus
- High school diploma or equivalent; additional certification in medical billing or related field preferred
