Authorization Specialist - Admitting

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Full Time Hospital, Gardnerville, NV, US

POSITION SUMMARY:

Responsible for the verification of insurance benefits and securing pre-certification and authorization for scheduled patient encounters. Document and process patient financial information.

POSITION REQUIREMENTS:

• High School Diploma or equivalent.

Minimum Work Experience

Required:

• 1- 2 years of medical insurance verification experience.
• Medical terminology and/ or medical experience.
• Knowledge of federal/state regulations, A/P, ICD 10, CPT codes.
• Good organizational and multi-tasking skills.

POSITION

ESSENTIAL FUNCTIONS:

• Working knowledge of current policies and procedures.
• Ability to communicate all pertinent questions and answers related to the registration process.
• Demonstrates knowledge related to all current federal and state regulations.

Registration:

• Combines same day accounts as mandated for billing compliance.
• Verifies eligibility and benefits prior to any scheduled procedures.
• Maintains accurate computer records and process patient financial information.
• Maintains quality communication between the business office, registration, physician offices and all departments.

Reporting:

• Demonstrates computer skills; proficient in excel.
• Uses good organizational and multi-tasking skills.
• Monitors A/R, denials, verifications and authorization.
• Assumes all other duties and responsibilities as necessary.
• Demonstrates willingness to identify and/or assume activities relative to the developmental needs of the department.
• Demonstrates dependability/flexibility in meeting scheduling needs of the department and hospital.
• Accepts assignment as preceptor for new staff.
• Completes work assignments on time/readily accepts assignments as observed by manager.
• Reports to work on time and is at work as scheduled, as observed by manager.

BENEFITS:
If you are scheduled to work part-time at least 24 hours per week and full-time at least 30 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.

• NO STATE INCOME TAX
• Hometown Health Medical, Eye Med Vision, Guardian Dental and Flexible Spending Account.
• Vanguard 401(k) with match.
• Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
• Employer Paid Basic Life and AD&D insurance.
• Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
• Earned Time Off, Sick Leave and Paid Holidays.
• Unum Employee Assistance Program.
• Employer paid Credit monitoring and Identity Theft Program through Cyber Scout.
• Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (
  * for qualifying positions).
• Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
• Paid Volunteer Hours for staff to help in the community.
• and More...

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024, 2025 & 2026!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!

Authorization Specialist
- Admitting
- Full Time

POSITION SUMMARY:

Responsible for the verification of insurance benefits and securing pre-certification and authorization for scheduled patient encounters. Document and process patient financial information.

POSITION REQUIREMENTS:

Minimum Education:

• High School Diploma or equivalent.

Minimum Work Experience

Required:

• 1- 2 years of medical insurance verification experience.
• Computer skills required; proficient in excel.
• Medical terminology and/ or medical experience.
• Knowledge of federal/state regulations, A/P, ICD 10, CPT codes.
• Professional customer service skills.
• Good organizational and multi-tasking skills.

POSITION

ESSENTIAL FUNCTIONS:

Billing Information:

• Working knowledge of current policies and procedures.
• Ability to communicate all pertinent questions and answers related to the registration process.
• Demonstrates knowledge related to all current federal and state regulations.

Registration:

• Combines same day accounts as mandated for billing compliance.
• Verifies eligibility and benefits prior to any scheduled procedures.
• Maintains accurate computer records and process patient financial information.
• Maintains quality communication between the business office, registration, physician offices and all departments.

Reporting:

• Demonstrates computer skills; proficient in excel.
• Uses good organizational and multi-tasking skills.
• Monitors A/R, denials, verifications and authorization.
• Assumes all other duties and responsibilities as necessary.
• Demonstrates willingness to identify and/or assume activities relative to the developmental needs of the department.
• Demonstrates dependability/flexibility in meeting scheduling needs of the department and hospital.
• Accepts assignment as preceptor for new staff.
• Completes work assignments on time/readily accepts assignments as observed by manager.
• Reports to work on time and is at work as scheduled, as…