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Pre - Authorization Specialist, Fch - Enterprise Registration
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- The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services.
- This individual determines which patient services have third party payer requirements and is responsible for obtaining the necessary authorizations for care.
- The Pre-Authorization Specialist provides detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record.
- A minimum of 2 years experience in hospital billing/pre-authorization or insurance verification with demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO's and PPO's required.
- Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
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