Prior Authorization Specialist - Endocrinology

Maynard, Massachusetts

Employer: Emerson Hospital
Industry: Clerical & Administrative Support
Salary: Competitive
Job type: Full-Time
Job Summary

Reporting to the Office Manager, the Prior Authorization specialist is responsible for obtaining prior authorizations for all medication with all commercial payers.

Minimum Qualifications
  • Education
    • High School Diploma or equivalent preferred
  • Experience
    • 2 years' experience in medical field required
    • Medication Prior Authorization experience preferred
    • Knowledge of prior authorization and its direct impact on the practice's revenue cycle
  • Licensure and/or Certification
    • No licensure required
  • Skills
    • Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
    • Proficient use of CPT and ICD-10 codes - Proficiency in the use of computers and basic software applications is necessary.
    • Excellent computer skills including Excel, Word, and Internet use
    • Detail oriented with excellent organizational skills
    • Plans and prioritizes to meet deadlines
    • Communicates clearly and effectively
    • Ability to multitask and manage high-volume, time-sensitive workload independently
    • Ability to be flexible and work within a team-focused, participative management framework is required.
    • Excellent customer service skills.
    • Must be able to read, write, and communicate in English.
    • Ability to maintain confidential information.
Created: 2024-09-04
Reference: 30407
Country: United States
State: Massachusetts
City: Maynard

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