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    Prior Authorization Specialist - Rochester, United States - Woodlawn Hospital

    Woodlawn Hospital
    Woodlawn Hospital Rochester, United States

    2 weeks ago

    Default job background
    Description

    Position Description:
    Act as a primary resource for all departments/employees for preauthorization medical care documentation and terminology. Verify insurance coverage for health care services ordered or provided. Review clinical documents and get clarification on procedure/services/treatments(s) being ordered/performed when necessary. Prioritize incoming authorization requests according to urgency.

    Contact insurance company or other third party to obtain a precertification for procedures, services, and treatments including use of website or by phone and then follow-up regularly on pending approval cases.


    Qualifications:
    High School Diploma or GED preferred. Active Licensed Practical Nurse in Indiana.


    Shift:
    Day

    Ref Code:

    9123


    Contact Information:
    Dawn Kreft, Employment Coordinator – Human Resources


    Email:

    Phone:
    #J-18808-Ljbffr


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