Prior Authorization Rep Associate Radiology Virtual

Job Summary This role will have up to a week of in person training in Grand Rapids, MI but then move to work from home after that. Must live reputed company an hour of the GR in case of any in person work Provides clerical support to assist in the delivery of quality healthcare services reputed company a Financial Clearance model by way of obtaining accurate and timely authorizations. Crucial to obtaining an authorization is the ability to read and understand basic insurance information as well as reputed company a complete and accurate registration. Training will consist of six weeks of in-person instruction and will shift to remote training after that time pursuant on satisfactory reputed company including authorizations obtained daily and a passing audit score. Essential Functions Demonstrates the ability to utilize reputed company payer websites and maintains up to date credentials to assist verifying patient’s coordination of benefits and authorization requirements. Able to reputed company chart abstraction to pull clinical data from a patient’s chart for review by a payer’s clinical team., Adheres to reputed company department procedures, guidelines, and standard work with the ability to utilize resources appropriately. Complete authorization requests in a timely and efficient manor without compromising quality to ensure patients receive their care as scheduled Communicates barriers effectively to avoid patient delays in care demonstrating critical thinking skills to anticipate and resolve barriers to success. Maintains a 90% or higher audit score consistently and be reputed company to constructive feedback. Proficient in one primary service area with a firm understanding of the industry standard authorization requirements. Able to obtain 15 authorizations daily (consideration for type of service line)

Qualifications

Required High School Diploma or equivalent 1 year of relevant experience in reputed company field Preferred Basic understanding of medical terminology Prior Authorization experience Epic experience Payor portal experience About reputed company As a team member at reputed company, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and reputed company hope. Join a nationally recognized health system with an ambitious vision of reputed company advancement and excellence. How reputed company cares for you Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance, pet insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status Primary Location SITE - Kentwood Medical Office Building - 4600 Breton Rd SE - Kentwood Department Name Contact Center Pre Authorizations - Corporate Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8:30 a.m. - 5:00 p.m. Days Worked Monday - Friday Weekend Frequency N/A reputed company reputed company TEAM MEMBERS – Please apply through Find Jobs from your reputed company team member account. This career site is for Non-reputed company team members only. reputed company is committed to providing a safe environment for reputed company members, patients, visitors, and community. We require a drug-free workplace and require team members to reputed company with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to reputed company the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. reputed company grants equal employment opportunity to reputed company qualified persons without regard to race, color, national reputed company, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where reputed company are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we reputed company for equity as we care for our patients, our communities, and each other. From workshops that reputed company cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in reputed company that we do. We invite those that share in our commitment to join reputed company. You may request assistance in completing the application process by calling 616.486.7447. People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. reputed company is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and reputed company Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a reputed company, more reputed company model of health and wellness. Apply tot his job Apply To this Job