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Skills
Communication Skillsunmatched
Computer Skillsunmatched
Data Managementunmatched
Data Qualityunmatched
Dental Insuranceunmatched
Documentationunmatched
Electronic Medical Recordsunmatched
Establish Prioritiesunmatched
Health Information Managementunmatched
Health Insuranceunmatched
Industry Standardsunmatched
Insuranceunmatched
Leadershipunmatched
Legalunmatched
Maintain Complianceunmatched
Medical Assistanceunmatched
Medical Recordsunmatched
Medicationsunmatched
Multitaskingunmatched
Patient Care Authorizationsunmatched
Presentation/Verbal Skillsunmatched
Privacy Controlsunmatched
Psychiatry and Mental Healthunmatched
Quality Managementunmatched
Records Managementunmatched
Regulatory Complianceunmatched
Telephone Skillsunmatched
Time Managementunmatched
Vision Planunmatched
Writing Skillsunmatched
Description
Benefits:
Health insurance
Paid time off
Vision insurance
401(k) matching
Dental insurance
Job Summary: We are seeking a motivated and like-minded Health Information Specialist. This is a full-time, in-office position. The Health Information Specialist will manage and maintain the accuracy, security, and privacy of electronic, and paper-based, medical records, manage data quality, and ensure compliance with legal and industry standards. This person will also be responsible for helping with our prior authorizations department by discussing medications, insurance, and prior authorization documents with patients, getting prior authorization approval from insurance companies, filing appeals, and ensuring completeness and accuracy on all prior authorizations.
Key Responsibilities:
Submitting requests to insurance companies, gathering necessary documents, completing forms and following up on the status of the requests.
Provide updates on the authorization, review requests for completeness and ensure all supporting documents are submitted to expedite approvals.
Receive requests for prior authorizations and ensure that they are properly and closely monitored within company-set standards.
Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is completed.
Collaborate with other departments to assist in obtaining prior authorizations/appeals.
Document all interactions with insurance companies within the EMR system.
Proactively work on prior authorizations that are due to expire.
Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership.
Other duties as assigned
Required Skills and Qualifications:
Previous experience working in a medical/psychiatric facility is preferred.
Excellent communication skills, both written and oral.
Proficient telephone and computer skills.
Must be able to prioritize multiple tasks at once, and deal with high stress levels in an environment of changing priorities.
Must be able to interact with all levels of staffing professionally.
Medical Records and Prior Authorization experience preferred, but not required.
Compensation and Benefits:
PNS offers a competitive compensation package including; medical, dental, and paid time off for full time employees.
Hourly rate based on skill, experience and tenure of your profession.