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Prior Authorization Specialist

Company: Lowell General Hospital
Location: Stoneham
Posted on: June 12, 2021

Job Description:

The Prior Authorization Specialist is responsible for prior authorization and verification functions. Ensures that appropriate clinical authorizations are in place for all scheduled inpatient admissions, day surgery cases, invasive procedure services, and specialized testing (CT, MRI) prior to the date of service for multiple different specialty offices. Level of knowledge generally obtained through a bachelor#s degree in Business Administration or related degree. Three to five years related experience in a health-care setting. Strong, working clinical knowledge and the ability to gather and interpret clinical data. Proficiency with computer-based patient registration systems, and all standard Microsoft Office applications software. Strong, working knowledge of medical terminology and ICD10 coding. Thorough understanding of managed care regulations and third-party billing requirements.

Keywords: Lowell General Hospital, Boston , Prior Authorization Specialist, Other , Stoneham, Massachusetts

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