
Prior Authorization Specialist
Answers telephone within three rings using good customer service skills to ascertain the nature of the call as needed. Uses proper telephone etiquette when receiving and transferring calls; speaks clearly and concisely. Exercises tact and diplomacy. Maintains confidentiality in talking with patients, upholding policies and setting an example. Schedules and reschedules appointments if needed. Uses exceptional customer skills when speaking with insurance companies/patients and other internal departments. Keeps work area neat, clear of clutter. Works in with iPas system and monitors communications needs to assure timely responses. Monitors email throughout the day. Review chart documentation to ensure patient meets medical policy guidelines. Prioritize incoming authorization request according to urgency. Obtain authorizations via payer website or by phone.
Knowledge of prior authorization process and it’s impact on the practice’s revenue cycle
2 years of experience in medical related field or completion of a medical based educational program preferred
2 years of medical prior authorization experience preferred
Proficient use of J codes, CPT codes, ICD codes
Excellent customer service skills
MS Word
Record Keeping Skills
Time Management Skills
MS Excel skills
Verbal communication
Prioritizing skills
written communication
Multitasking Skills
Adaptability
Problem-Solving
Attention to detail and accuracy
According to JobzMall, the average salary range for a Prior Authorization Specialist in 555 E Cheves St, Florence, SC 29506, USA is $30,000-$45,000 per year. This salary range may vary depending on a number of factors such as experience, education, location, and company.
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McLeod Health is a hospital network serving the twelve counties of northeastern South Carolina. The McLeod Health network is comprised of 7 hospitals with locations in Florence, Darlington, Dillon, Manning, Cheraw, Loris, and Little River. They have also expanded into the Carolina Forest area of Myrtle Beach for patients looking for primary care and family physicians. Founded over a century ago, McLeod is a locally owned, not-for-profit healthcare system which features the strength of more than 800 physicians and 2,000 registered nurses, and more than 8,500 employees. McLeod constantly seeks to improve patient care with efforts that are physician led, data-driven and evidence-based.

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