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Prior Authorization Specialist
Washington County Hospital and Clinics
Opportunity Description
Position Type Full Time
Job Shift Day
Category Health Care
Description
SUMMARY
Determines which patient services have third party payor requirements and is responsible for verifying eligibility, obtaining insurance benefits and ensuring prior authorization requirements are met prior to the delivery of tests, treatments, and medications
DUTIES/RESPONSIBILITIES (include but are not limited to the following)
+ Reviews and processes all assigned prior authorization requests to completion. Diligently reviews patient health care data, diagnostic testing and treatment information for completeness for insurance requirements and prior authorization process.
+ Communicates with providers, and clinical staff as needed to obtain and understand clinical documentation requirements. Provide required clinical documentation to payers via phone, faxed forms, and/or website.
+ Maintains documentation of authorization a...
Job Shift Day
Category Health Care
Description
SUMMARY
Determines which patient services have third party payor requirements and is responsible for verifying eligibility, obtaining insurance benefits and ensuring prior authorization requirements are met prior to the delivery of tests, treatments, and medications
DUTIES/RESPONSIBILITIES (include but are not limited to the following)
+ Reviews and processes all assigned prior authorization requests to completion. Diligently reviews patient health care data, diagnostic testing and treatment information for completeness for insurance requirements and prior authorization process.
+ Communicates with providers, and clinical staff as needed to obtain and understand clinical documentation requirements. Provide required clinical documentation to payers via phone, faxed forms, and/or website.
+ Maintains documentation of authorization a...
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