Pre-Authorization Clerk (Remote) - Business Services - Full Time / Day Shif
2023-06-20Organization
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Gadsden Regional Medical Center
Location GADSDEN, AL (Gadsden Regional Medical Center)Full Time- Department Central Scheduling Hosp
- Field Finance and Accounting
Location GADSDEN, AL (Gadsden Regional Medical Center)
Department Central Scheduling Hosp
Field Finance and Accounting
Full Time
Job Description
Directly responsible for obtaining appropriate treatment authorizations from payers for outpatient surgeries, outpatient diagnostic services, observation patients and potential direct admits. Follows Patient Financial Services policies to achieve maximum reimbursement while promoting excellent relationships with clinical departments, patients, physicians, physician offices, payers, and employers. Must be able to work independently and initiate processes when no direction is given. Must be emotionally mature and able to function effectively under stress.
Directly responsible for obtaining appropriate treatment authorizations from payers for outpatient surgeries, outpatient diagnostic services, observation patients and potential direct admits. Follows Patient Financial Services policies to achieve maximum reimbursement while promoting excellent relationships with clinical departments, patients, physicians, physician offices, payers, and employers. Must be able to work independently and initiate processes when no direction is given. Must be emotionally mature and able to function effectively under stress.
Education REQUIRED: GED or High School Diploma
Experience REQUIRED: Must have 3 years hospital experience or medically related environment with demonstrated knowledge of scheduling procedures, insurance pre-certification, reimbursement regulations and hospital patient flow.
