Authorization Specialist - Montefiore St. Luke's Cornwall
Cornwall, NY 12518
About the Job
Pay rate: $22 - $25 per hour.
Responsible for the coordination of prior-authorizations, pre-certification and referral process for patients being referred for specialty care, diagnostic procedures, hospital admissions and surgery. Performs insurance verification, obtaining pre-authorizations, pre-certification and referrals. Ensures notification of reimbursement to physicians, nurses, financial clearance staff, and patients prior to services being rendered.
Education/Training: High school diploma or equivalent required. Associate degree strongly preferred. Ability to read, write and communicate in English. Bilingual (Spanish) a plus.
Experience: Two (2) years of experience in medical billing office, medical setting or insurance company. Working knowledge of medical office or facility procedures and detailed understanding of ICD-10 and CPT codes. Understanding of medical reimbursement and terminology, including strong knowledge of regulatory standards and compliance requirements. Previous pre-certification experience helpful. Experience must have included frequent customer interaction with a broad and diverse community. Prior experience must demonstrate the ability to work well under pressure, and to prioritize and multi-task with a high level of accuracy and attention to detail. Prior experience working with Windows-based software including Microsoft Word and Excel. Excellent oral and written communication skills. Ability to present information to groups of clinical and non-clinical staff.
Licensure, Registration or Certification: Prior Authorization Certified Specialist (PACS) certification required within 30 days of hire/transfer
Montefiore St. Luke's Cornwall (MSLC) is a not-for-profit hospital dedicated to serving the health care needs of those in the Hudson Valley. In January 2018, St. Luke's Cornwall Hospital officially partnered with the Montefiore Health System, making MSLC part of the leading organization in the country for population health management. With dedicated staff, modern facilities and state-of-the-art treatment, Montefiore St. Luke's Cornwall is committed to meeting the needs of the community and continuing to aspire to excellence.
We are proud to be on Becker's Hospital Review as one of the 150 Great Places to Work in Healthcare, as well as being a Certified Great Place to Work.
Visit https://www.greatplacetowork.com/certified-company/1379468 to learn what makes MSLC an exceptional place to work.
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