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Prior Authorization Specialist
Atlanta, GA
Job Description
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
A prior authorization specialist is an individual who is highly skilled in ensuring that patients receive the medication that requires pre-authorizations from insurance carriers. These individuals receive prescriptions, address and rectify rejected claims and conduct necessary third party authorization requests.
1. High School Graduate or General Education Degree.
2. CMA, or RMA or three to seven years related experience.
3. Understanding and experience with electronic medical records
4. Great communicator, with exceptional writing and verbal skills
5. Ability to project a professional image.
6. Strong knowledge of regulatory standards and compliance requirements, working knowledge of medical business office procedures and basic accounting.
7. Detailed understanding of ICD9 and CPT.
8. Possess insight into reimbursement and claims procedures.
PREFERRED:
1. Proficient in EMR
2. Two to Four years equivalent experience
Northside Hospital is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation or protected veteran status.
Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
3 to 7 years
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