The Staff Pad has partnered with a hospital in Helena, MT to hire a Prior Authorization Specialist. Responsibilities: Review and process prior authorization requests according to established criteria and protocols. Verify insurance coverage and obtain necessary authorizations, notifications, or referrals. Maintain accurate documentation in electronic systems and office records. Communicate directly with healthcare providers to gather complete and accurate information. Serve as a resource for clients and internal staff. Complete additional duties as assigned. Qualifications: High School Diploma, HiSET, or GED required; completion of Patient Financial Services I training within 5 months. Knowledge of anatomy, physiology, medical terminology, and disease processes. Strong customer service, communication, and organizational skills. Ability to handle multiple tasks, deadlines, and customer interactions with professionalism. Proficient in keyboarding and general computer use.
Back to searchPrior Authorization Specialist
The Staff Pad
Posted 2 days ago, valid for 16 days
Helena, MT 59604, US
$40,000 - $48,000 per year
Full Time
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Sonic Summary
- The Staff Pad is seeking a Prior Authorization Specialist for a hospital in Helena, MT.
- The role involves ensuring timely patient care by obtaining necessary authorizations and providing exceptional customer service.
- Candidates should have a High School Diploma or equivalent and complete Patient Financial Services I training within 5 months.
- Strong communication and organizational skills are required, along with knowledge of medical terminology and processes.
- The position offers a salary range of approximately $40,000 to $50,000 per year and requires relevant experience in the healthcare field.
Position Overview:
The Prior Authorization Specialist ensures patients receive timely care by obtaining necessary facility authorizations for services scheduled at the hospital. This role provides exceptional customer service to patients, physicians, and office staff while verifying insurance coverage and maintaining compliance with all managed care contracts and authorization policies. The Specialist communicates with external physician offices and internal hospital departments to maintain accurate patient records.
