What are the responsibilities and job description for the Call Center Payer Auth Specialist position at Reid Health?
Find your WHY at Reid Health
This position is responsible for precertification/prior authorization of all services ordered by practice providers prior to services being performed. In addition, this position is responsible for the scheduling of procedures (surgeries, cardiac diagnostics, etc.) or could be directed to do so. This position would also maintain the provider practice schedule, including blocking schedule for procedure time.
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Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve. We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.
To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.
Overview of Responsibilities
- Obtains precertification/prior authorization for all services ordered by provider(s) within the office (radiologic procedures, cardiac diagnostic procedures, laboratory procedures, surgeries, medications, etc.) prior to procedure being performed.
- Enters surgery case request including CPT code(s)
- Enters the prior authorization confirmation information
- Works with central scheduling/surgery scheduling to schedule procedures.
- Scheduling of pre-admission testing.
- Scheduling of post-operative visits.
- Maintenance of the providers practice schedules including blocking time for procedures.
- Rooms patients, records vital signs. (Based on needs of the practice)
- Other duties as assigned by supervisor/manager.
Education/Experience
Education Required: High School Diploma or Equivalent
Education Preferred: High School Diploma or Equivalent
Experience Required: Minimum one-year front office experience.
Experience Preferred: Prior pre-certification / prior authorization experience
Schedule Details
Day shift. 40 hours weekly. 8a-4:30p M-F This position is working within a Reid physician's office.What We Offer
Unexpected Perks - Daycare, Doordash, SmartDollar, Daily Pay, therapy dogs, massages, Forbes rated Best Places to Work 2022
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Other Information
EEO Statement: Reid Health is an Equal Opportunity Employer
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Reid Health does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at Reid Health via email, the internet or in any form and/or method without a vaild written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by Reid Health.
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