What are the responsibilities and job description for the Prior Authorization Coordinator position at Golden Valley Memorial Healthcare?
Job Description:
The Prior Authorization Coordinator is responsible for working with physician offices, hospital departments, and insurance companies to obtain prior authorizations. Minimum requirements include clinical experience, medical terminology, typing 40 wpm, experience with Windows/PCs, strong written and verbal communication skills, the ability to work as a team as well as independently, and highly developed customer service skills. Preferred prior experience with obtaining prior authorizations in a medical setting as well as clinical coding.
Responsibilities:
Obtains prior authorizations over the phone, online, via fax, and any other method as needed for all services that require authorization, Responds to retro-review requests timely. Completes retro-reviews as needed, Obtains insurance benefits as needed, Records all prior authorization information, including authorization numbers and dates, in the system appropriately, For services ordered by outside providers verifies that an authorization is in place if needed, Works with Director and other departments to reduce authorization denials, Completes all other assigned tasks and duties in a timely and efficient manner.
Education/Credentials:
High School or equivalent (GED)
Starting Range: $18.29-$20.12
Why Join Us?
We offer a comprehensive benefits package including an Employee Incentive Bonus based on hospital performance and patient satisfaction, a 0-6% annual Retirement Contribution (No Match-403b), 20% employee discounts, Stable Health, Vision, and Dental Insurance premiums, and Paid Time Off starting with 12 hours of PHO, all within a supportive, family-like work culture.
Our competitive salary package is adjusted to align with the candidate's relevant experience and skills.
Salary : $18 - $20
