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Referral and Prior Authorization Specialist - Inpatient Job at Jones Memorial Hospital

Jones Memorial Hospital Wellsville, NY 14895

Hello!

We are currently hiring for a Referral and Prior Authorization Specialist - Inpatient. This position will work Monday - Friday 8am - 4pm with varying hours depending on patient needs.

This position assesses all aspects of patient financial account management for all patient visits and is accountable for coordinating all activities necessary to financially secure payment. Involves in-depth communications, collaboration and follow-up with patients, families, third party payers, governmental agencies, employers, and case management to secure potential benefits, including financial assistance. Accountable for planning, execution, appeals and efficient follow through on all aspects of the prior authorizatoin process. In addition, is responsible for monitoring own performance on assigned tasks. Adheres to approved protocols for working referrals and prior authorizations. Position is self-directed and must make complex decisions independently. May train other support staff.

Job Type: Full-time

Benefits:

  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday
  • Weekend availability

Ability to commute/relocate:

  • Wellsville, NY 14895: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Insurance verification: 1 year (Preferred)
  • Medical billing: 1 year (Preferred)

Work Location: One location




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