-
Prior Authorization Specialist
2 weeks ago
St. Peter's Health Helena, United StatesJOB SUMMARY (overview of job): The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by obtaining facility authorizations for patients scheduled at SPH. This position will be required ...
-
Prior Authorization Specialist
2 weeks ago
St. Peters Health Helena, United StatesThe primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by obtaining facility authorizations for patients scheduled at SPH. This position will be required to verify insurance coverage an ...
-
Prior Authorization Specialist
2 weeks ago
St. Peter's Health Helena, United StatesJOB SUMMARY (overview of job): The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by obtaining facility authorizations for patients scheduled at SPH. This position will be required ...
-
Opencut Mining Reclamation Specialist
4 weeks ago
State of Montana Helena, United StatesOpencut Mining Reclamation Specialist We are looking for a Reclamation Specialist to join our team in the Opencut Mining section of the Air, Energy & Mining Division. The Reclamation Specialist is responsible for ensuring the scientific integrity of permit applications; conducti ...
-
State of Montana Helena, United StatesWater Conservation Specialist-Water Resource Specialist Are you interested in historic water use, water rights, maps, and aerial photo interpretation? Would you find working in a career that has both legal and technical challenges interesting? Would you like assisting water rig ...
-
Attorney - Adviser
4 weeks ago
Environmental Protection Agency Helena, United StatesSummary · This position is in Region 8, Office of Regional Counsel, Legal Enforcement Branch, CERCLA Enforcement Section. About Region 8: · This is an office-centered position*--you must physically report to the duty station stated in this announcement on a regular basis. · *Wo ...
-
State of Montana Helena, United StatesJob Overview: · The New Appropriation Specialists (specialist) performs a broad variety of duties associated with managing Montana's water resources. Specialists work primarily with the Water Right Bureau's New Appropriations program, while also providing technical assistance fo ...
-
Licensing Specialist
3 weeks ago
State of Montana Helena, United StatesJob Overview: · The Licensing Specialist position is responsible for administering licensing operations, processes, systems and data.Position provides licensing expertise to the department and other interested parties and assists in the implementation of licensing policy for the ...
-
Biologist
3 weeks ago
State of Montana Helena, United StatesJob Overview: · The Sage Grouse Program Specialist implements Montana's Strategy under direction of the program manager.Specifically, the program specialist works with state and federal agencies, and administrative entities like the Montana Board of Oil & Gas in matters related ...
-
Supervisory Health System Specialist
3 weeks ago
Veterans Health Administration Helena, United StatesSummary · This position is located within the Ambulatory Care Service Line of the Montana VA Health Care System and is responsible for coordinating the administrative functions and providing administrative and managerial support to all professional programs under the supervision ...
-
GIS Specialist
1 week ago
State of Montana Helena, United StatesGIS Specialist First Review of Applications is June 7, 2024 · Work Unit Overview · The Conservation and Resource Development Division (CARDD) is a division within the Department of Natural Resources and Conservation (DNRC) responsible for providing technical and financial assis ...
-
State of Montana Helena, United StatesBehavioral Health Strategy and Transformation Project Specialist The Montana Department of Public Health and Human Services (DPHHS) has a career opportunity within the Office of Strategy and Transformation. · This position is the Behavioral Health Strategy and Transformation P ...
-
Planning Program Specialist
2 days ago
State of Montana Helena, United StatesPlanning Program Specialist About the Department · The Department of Commerce aims to make sure Montana is the best place to work, live and play. We work alongside private industry and local organizations to create jobs, grow businesses, develop affordable housing and improve ...
-
Environmental Engineering Intern
2 weeks ago
Tetra Tech Helena, United States Full timeDiscover your full potential. At Tetra Tech, we are collaborating with industry-leading experts for a sustainable future for our world. We combine consulting and engineering with advanced analytics and technology to solve the world's most complex challenges. Our innovation hubs a ...
-
Program Supervisor
3 weeks ago
State of Montana Helena, United StatesJob Overview: · This position is responsible for planning, developing, implementing, and supervising the fire management program on the Helena Unit. Essential Functions (Major Duties or Responsibilities): · Fire Program Planning and Analysis · Plans and directs Helena Unit fi ...
-
Payroll Specialist
3 weeks ago
State of Montana Helena, United StatesJob Overview: · This position is responsible for maintenance of payroll DNRC. Areas of responsibility include preparation and processing of the agency's payroll and related record keeping. Duties range from hiring, adjusting and terminating personnel, reviewing for accuracy and ...
-
Nurse Practitioner
2 weeks ago
Loyal Source Government Services Helena, United StatesGive Back to Those that Gave to Us · We offer full-time positions with excellent benefits – opportunities for growth – and an amazing way to give thanks to those who've given so much. Both new grads and experienced professionals are encouraged to apply and make a real difference ...
-
IT Systems Administrator
2 weeks ago
State of Montana Helena, United StatesJob Overview: · The IT Systems Specialist is responsible for providing technical assistance for IT related systems and tools for DNRC. This position and the included duties and responsibilities are critical in facilitating an innovative, stable, accurate, and efficient technolog ...
-
Senior Business Operations Specialist
2 weeks ago
Carroll College Helena, United States: Carroll College is seeking a self-motivated individual to fill the position of Senior Business Operations Specialist for the Finance & Administration Department. This position will perform senior executive level administrative support to the Vice President of Finance, Administr ...
-
Patient Access Specialist
2 weeks ago
St. Peters Health Helena, United StatesJOB SUMMARY: The role of a Patient Access Specialist (PAS) is to assist in providing seamless, patient-oriented and timely access to services provided at St. Peter's Health Medical Group (SPHMG) Clinics/Regional Medical Center. This position requires excellent customer service sk ...
Prior Authorization Specialist - Helena, United States - St. Peter's Health
Description
JOB SUMMARY (overview of job): The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by obtaining facility authorizations for patients scheduled at SPH.
The Specialist is required to maintain a working knowledge of all Managed Care Contracts as well as insurance requirements and policies for authorizations, notifications and/or referrals.
The Specialist position will utilize the system functionality as well as office equipment such as a scanner, credit card terminals and fax machine.
This position will be in communication with outside physician offices and ancillary departments within the hospital to complete an accurate patient record.
The Prior Authorization Specialist responsibilities may include, but are not limited to:Applying medical knowledge and experience for prior authorization requests;
Performing detailed medical reviews of prior authorization requests or assessment forms according to established criteria and protocols;
Managing incoming authorization requests and inquiries via fax, computer, telephone, or mail;
Maintaining accurate documentation on all requests and documenting in the appropriate computer application;
Initiating and continuing direct communication with health care providers involved with the care of the member to obtain complete and accurate information;
Serving as a resource to clients;
Exercising the ability to complete additional duties as needed.
KNOWLEDGE/EXPERIENCE:
Sufficient experience to demonstrate ability to accept responsibility as a Hospital and Clinic prior authorization representative.
Knowledge of anatomy and physiology, medical terminology and disease processes.
Proficient keyboard skills and working knowledge of computer required.
Good verbal and written communication skills.
Cognitive, organizational and emotional abilities to deal effectively with multiple stressors, deadlines and customer needs.
EDUCATION:
High school Diploma, HiSET or GED equivalent required. Completes Patient Financial Services I and training within first 5 months.
Aptitudes:
Ability to achieve cognitive, organization and emotional maturity to deal effectively with multiple tasks, stresses, deadlines, difficult situations and/or customers.
Open to feedback, and open to a changing environment, which requires flexibility in scheduling and department assignments.
Create, maintain, and promote a respectful work environment consistent with SPH patient and employee satisfaction culture.
Attention to detail and accuracy.
Ability to accurately and efficiently document customer interactions.
Possess a customer-focused mindset
