What are the responsibilities and job description for the Insurance Prior Authorization Specialist position at SSM Health?
Welcome to SSM Health, where we value exceptional employees through comprehensive benefits and opportunities. As a Referral Liaison, you will have the chance to work with a diverse group of patients, physicians, and healthcare professionals to deliver high-quality care.
Your key responsibilities will include:
- Creating a positive patient experience by facilitating problem-solving and decision-making skills
- Ensuring accuracy and timeliness in insurance prior authorization, plan benefits, and medical necessity documentation
- Serving as a liaison between patients, physicians, and other healthcare team members
We prioritize evidence-based practices, patient-specific needs, and clinical requirements to deliver exceptional nursing care. Our Scope of Service defines our professional nursing standards, guiding our practice.
To excel in this role, you will need a graduate degree from an accredited school of nursing or equivalent education for licensure. You should also hold Illinois Basic Life Support HealthCare Provider (BLS HCP) certification and Registered Professional Nurse (RN) licensure.