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