Payer Authorization Specialist - Reid Health

Find your WHY at Reid Health:

This position is responsible for precertification/prior authorization of all services ordered by practice providers prior to services being performed. In addition, this position is responsible for the scheduling of procedures (surgeries, cardiac diagnostics, etc.) or could be directed to do so. This position would also maintain the provider practice schedule, including blocking schedule for procedure time.

Let's Shine. Together.:

 

Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve.  We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.

 

To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.

 

Overview of Responsibilities:

• Schedule all Gastroenterology procedures, coordinating schedules with Gastroenterology providers, patients, and ROSE or Reid surgery departments.
• Schedule all follow-up scopes determined by the provider.
• Run medical necessity through Vitalware on all procedures.
• Complete PRE SCOPE CHECK LIST
• Request insulin and blood thinner plans when appropriate.
• Request cardiac and pulmonary clearance when appropriate.
• Verifies patient and insurance information when needed.
• Confirms next day patient appointments by contacting patient reminding of appointment time, maintains correct availability of days and rescheduling as soon as possible.
• Answer additional questions for patient as needed or provide appropriate resources.
• Maintains all procedure schedules by scheduling patient based off convenience of patient, urgency and length of exam time required.

Education/Experience:

Education Required:  High School Diploma or Equivalent

Education Preferred:  High School Diploma or Equivalent

Experience Required:  None.

Experience Preferred: Minimum one-year front office experience preferred. Prior precertification/prior authorization experience.

Schedule Details:Day Shift. Monday-Friday 8-430What We Offer:

       

 

Unexpected Perks - Daycare, Doordash, SmartDollar, Daily Pay, therapy dogs, massages, Forbes rated Best Places to Work 2022

Stay Connected:

Not quite what you are looking for? Submit your information here for general consideration. One of our employment specialists will be in touch with next steps.

Other Information:

EEO Statement: Reid Health is an Equal Opportunity Employer

 

No Search Firms:

Reid Health does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at Reid Health via email, the internet or in any form and/or method without a vaild written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by Reid Health. 

 

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