UR Thompson Health

Prior Authorization Specialist

UR Thompson Health  •  Canandaigua, NY (Onsite)  •  5 months ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

Schedule: Monday - Friday, Days

  • Responsible for obtaining patient insurance pre-authorizations and verifications of benefits for rehabilitation procedures for all rehabilitation satellites by successfully completing the insurance verification and authorization process with all payers and notifying the rendering provider in the timeliest manner possible so our patient receives the services needed with the least delay.
  • Other duties include: insurance follow up, patient registration, chart and financial account preparation, medical record tasks, cash drawer/collections, scheduling appointments, financial counseling, obtaining physician orders, and engaging in excellent customer service.
  • Provides organizational and operational support to all clinical staff within the Rehab Department.
  • This position works with the Rehab Practice Manager, Clinical Leaders, and Director to identify business issues and implement operational process improvement. Provides and assures high quality clerical services.
  • Coordinates activities with other services within and outside the Health System to meet and exceed the needs and expectations of our customers.

Qualifications:

  • Knowledge of procedure authorization and its direct impact on the rehab’s revenue cycle
  • Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
  • Working knowledge of medical terminology and basic understanding of human anatomy, specifically musculoskeletal
  • Proficient use of CPT and ICD-10 codes and registration
  • Excellent computer skills including Excel, word, and internet use
  • Detail oriented with above average organizational skills
  • Plans and prioritizes to meet deadlines
  • Excellent customer service skills; communicates clearly and effectively
  • Ability to multi-task and remain focused while managing high-volume, time-sensitive workload.

Education and Experience:

  • High School Diploma or GED required.
  • Required: Minimum three years of experience in a Customer Service setting.
  • Associates Degree preferred.
  • Preferred: Minimum one-year of previous experience in insurance verification and authorizations
  • Medical terminology desired. ICD-10/CPT coding experience strongly desired.
  • Minimum of two years office employment within a health-related environment.
  • Computer literacy and working knowledge in Microsoft products.
  • Experience with multiple telephone lines, excellent communication skills and quality customer relation skills are required.
  • Medical terminology desired. ICD-10/CPT coding experience

Company Culture:

Thompson Health has a culture of empowerment. At Thompson, interdisciplinary teams come together to improve care, your suggestions are welcomed and your ideas are part of the solution. Three of our executives have an RN background so we understand the importance of the patient experience!

  • Focus on CARES values Commitment, Action, Respect, Excellence, and Service
  • Focus on Employee Wellness Biometric screenings, Wellness programs, Onsite gym, Zen Room, Community Shared Agriculture program, Access to Success Coach
  • Staff Recognition platforms Shining Stars, CARESCount website

Pay Range: $18.34 - $22.00

Starting Pay: Based on Experience

Thom pson Health is an EOE encouraging individuals with disabilities and veterans to apply.

UR Thompson Health

About UR Thompson Health

Welcome to UR Medicine Thompson Health's home on LinkedIn.

An award-winning, nonprofit healthcare system, Thompson began as a small community hospital more than 100 years ago. Today, we are the premier healthcare provider for approximately 215,000 people in upstate New York’s greater Finger Lakes area. With more than 550 practitioners, over 1,700 associates and approximately 200 community volunteers, we offer a full range of healthcare services.

Our system has locations in Ontario, Livingston, Monroe and Wayne counties and includes:

• The 113-bed F.F. Thompson Hospital

• 24-hour skilled nursing care at the M.M. Ewing Continuing Care Center, with an off-site medical adult day program

• Independent and enriched living apartments at Ferris Hills at West Lake and Clark Meadows

• Primary care services at 10 medical practices

• Family health and wellness services, including educational programs to promote healthy lifestyles

• The Sands Cancer Center, part of UR Medicine's Wilmot Cancer Institute

• A full range of rehabilitative services

• Eight lab draw stations

• A comprehensive breast imaging center

• Two urgent care centers

F.F. Thompson Hospital has designation from the American Nurses Credentialing Center as a Magnet® hospital and from the state as a Stroke Center. Quality designations from the Joint Commission include Certificates of Distinction in Knee Replacement and Hip Replacement, Orthopedic Rehabilitation Certification and Advanced Perinatal Certification. Thompson was also the first hospital in New York to be named a Center of Excellence in Hernia Surgery™ by the Surgical Review Corporation (SRC).

Thompson Health was named one of Becker Hospital Review's Top 150 Places to Work in Healthcare in 2015, 2016, 2017 and 2018. Also in 2018, the health system received “LGBTQ Healthcare Equality Leader” designation from the Human Rights Campaign Foundation (HRC), which previously recognized the health system four times since 2014.

Industry
Healthcare & Social Services
Company Size
501-1,000 employees
Headquarters
Canandaigua, New York
Year Founded
1904
Social Media