Prior Authorization Specialist
Department: Business Services
Hours: 80hrs; 8:00am to 4:30pm; M-F
Shift: 1st Shift
It is the mission of Graham Health System to provide compassionate, quality health services, in a responsible and charitable manner, to the people and communities we serve. We are the community’s choice for exceptional healthcare experience. Graham Health System is seeking a great applicant to join our team. Graham Health System offers a great team atmosphere with multiple benefits.
The Prior Authorization Specialist performs the duties of the central scheduling position and is responsible for ensuring payers are prepared to reimburse Graham Health System for scheduled services in accordance with the payer-provider contract. The specialist will work in collaboration with clinical staff to request authorization for the service(s) to be performed.
High School Diploma with two years of college or professional schooling preferred. Minimum one year of working in a multispecialty group practice or healthcare system. One to two years of third party eligibility verification experience on an automated system and insurance authorizations experience. Experience with ICD-9/10, CPT, and HCPCS codes