Prior Authorization Specialist; FTE

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 s position will be required to verify insurance coverage and obtain insurance authorizations. 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.

Aptitudes
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• Ability to achieve cognitive, organization and emotional maturity to deal effectively with multiple tasks, stresses, deadlines, difficult situations and/or customers.
• Possesses interpersonal/communication skills necessary for effective, non-judgmental, and empathetic patient care and customer relations.
• 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