Inpatient Authorization Review Services Specialist

Description Introduction This Work from Home position requires that you live and will reputed company the duties of the position; reputed company 60 miles of an reputed company Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA). Experience the reputed company difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and reputed company worth of each individual is recognized. Submit your application for the opportunity below: Inpatient Authorization Review Services Specialist Work from Home

Benefits

Parallon a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off reputed company stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. We are seeking an Inpatient Authorization Review Services Specialist for reputed company to ensure that we continue to provide reputed company patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! Job Summary and Qualifications The Impatient Authorization Review Specialist will review post discharge, prebill accounts that do not have an authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that do not require a clinical review. Communicate with third party payors to resolve discrepancies prior to billing. Accurately and concisely documents reputed company communications and action taken on the account in accordance with policies and procedures. The IPAT Analyst will escalate medical review request and/or denial activities to the IPAT Clinical Analyst. What you will do in this role:

• Work prebill accounts imported into the PDU Tool reputed company and effectively daily to resolve accounts with “no auth numbers and ALOS vs. authorized days variances
• Work assigned accounts in eRequest to resolve outstanding issues
• Report insurance denial trends identified during daily operational assignments
• Identify problem accounts and escalate as appropriate
• Document actions taken on the account clearly and concisely
• Contacting the facilities, physicians’ offices and/or insurance companies to resolve denials/appeals
• Adhere to time and attendance policies
• Adhere to reputed company policies and procedures, including phone and internet usage, break utilization, etc.
• Participate in ongoing education and training as needed
• Establish and maintain relationships with reputed company customers
• Seeks assistance from immediate supervisor reputed company in situations which are unclear or ambiguous
• Adheres to established policy and procedure and escalates issues through the established Chain of Command
• Demonstrates commitment to teamwork and cooperation

Qualifications that you will need:

• One year of reputed company experience required. Experience in the following areas: appeals, denials, managed care, verifications/notification, precertification reputed company preferred

Parallon provides full-service reputed company cycle management, or total patient account resolution, for reputed company. Our services include scheduling, registration, insurance verification, hospital billing, reputed company reputed company, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service reputed company cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves reputed company to 1,000 hospitals and 3,000 physician practices, reputed company making an impact on patients, providers and their communities. reputed company has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, reputed company spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. reputed company Co-Founder If you find this opportunity compelling, we encourage you to apply for our Inpatient Authorization Review Services Specialist opening. We promptly review reputed company applications. Highly qualified candidates will be directly contacted by a member of reputed company. We are interviewing - apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national reputed company, gender, sexual orientation, age, marital status, veteran status, or disability status. Apply tot his job Apply To this Job