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Prior Authorization Specialist- Endocrinology- St Mary`s MOB- Part Time
Prevea Health
Prevea Health
To Apply, please click on the button below and put 21-839 in the "What" box then select "Search For Jobs"

Job Location: WI
Job Type: Part-time

Prior Authorization Specialist- Endocrinology- St Mary`s MOB- Part Time


Job Description and Essential Functions

Job Title/Position: Prior Authorization Specialist

Job Classification: Administrative/Professional Support

Date of Analysis: Date of Revision/Review:


Brief Description of Job Responsibilities:

Providing exceptional care for our patients as well as recognizing the value of your co-workers is the expectation of all members of the Prevea Health organization. All members are expected to focus on the patient`s needs; relate to all in a friendly, accepting manner; communicate in a positive and professional way to patients and co workers; use time effectively and efficiently; and demonstrate an overall high level of performance.

Specialized Responsibilities:

(This list may not include all of the duties assigned)

  • Works closely with department physicians and staff, coding and billing staff, to ensure understanding of information needed to obtain proper authorization for payment.
  • Communicates with patients prior to specialty consultation or surgical procedure to provide them with information regarding their coverage.
  • Identifies what is required for Preauthorization of surgical procedures and completes the process to minimize denial of claims.
  • Preauthorization documentation.
  • Communicate with hospitals and patient on progress/approval of Preauthorization.Performance Requirements:
  • General computer knowledge needed to navigate electronic medical record and for documentation.
  • Excellent organizational skills.
  • Excellent communication skills and follow through with internal and external customers.
  • High school diploma or GED.
  • One year of experience in a medical or insurance role preferred.
  • Knowledge of insurance and medical terminology.
  • Knowledge of CPT/ICD-10 coding useful.
Non-Essential Duties: Work is performed in an office environment. Involves frequent contact with staff and the public. Work may be stressful at times.
Typical Physical Demands:
Typical Working Conditions:
  • Other duties as assigned.
  • Work may require hand dexterity for office machine operation, stooping and bending to files and supplies, mobility to complete errands or deliveries, or sitting for extended periods of time. Manual dexterity for using a calculator and computer keyboard.

Essential Functions/Physical Demands

Job Title/Position: PSR

Job Classification: Administrative/Professional Support

How to Apply:
We have over 1200 reasons for you to consider a career with Prevea Health--they're our employees. We're an organization that values teamwork and provides continuous education, training and support so every member of the team contributes to our success. We offer a competitive salary and benefits package in an environment geared to professional and personal growth. No matter what your background or professional interests are, we think you'll like what we have to offer. Together we are the best place to get care and the best place to give care.

To Apply, please click on the button below and put 21-839 in the "What" box then select "Search For Jobs"

Prevea Health

Prevea Health is an Equal Employment Opportunity/Affirmative Action employer.


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