McLeod Health

Prior Authorization Specialist

McLeod Health

555 E Cheves St, Florence, SC 29506, USA
Full-TimeDepends on ExperienceEntry LevelHigh school or equivalent
Job Description

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.

Where is this job?
This job is located at 555 E Cheves St, Florence, SC 29506, USA
Job Qualifications
  • 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

Required Skills
  • Excellent customer service skills

  • MS Word

  • Record Keeping Skills

  • Time Management Skills

  • MS Excel skills

Soft Skills
  • Verbal communication

  • Prioritizing skills

  • written communication

  • Multitasking Skills

  • Adaptability

  • Problem-Solving

  • Attention to detail and accuracy

Compensation

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.

Additional Information
McLeod Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedAugust 16th, 2022
Apply BeforeMay 22nd, 2025
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About McLeod Health

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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