Wmh Prior Authorization Representative - Honesdale, United States - Wayne Memorial

Wayne Memorial

Verified Company

Honesdale, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Full time

Description

Full-Time. (Days/Evenings)

Responsible for obtaining prior authorization from payers for inpatient and outpatient services provided by Wayne Memorial Hospital.

This role is key to assuring proper coding of procedures, obtaining authorizations for payment and assisting with collection of reimbursement while minimizing insurance denials and bad debt balances.

Job Requirements

High School graduate or equivalent required. Associate degree in Business, Finance, Health Information Management or a related field preferred.
Requires one year of experience in healthcare, business, finance, or insurance related field. Knowledge of and/or experience in CPT and ICD coding and Medicare and thirdparty payer regulations and guidelines preferred.
Requires the ability to communicate effectively, cooperatively and discreetly
Excellent customer service skills
Basic computer / keyboard skills
Medical terminology preferred
Word processing experience preferred. (WORD/EXCEL)