Insurance Authorization Representative

Sturdy Memorial Hospital

Attleboro, MA

JOB DETAILS
SALARY
$19.85–$30.05 Per Hour
SKILLS
Case Management, Childcare, Co-Payments, Compensation Management, Computer Skills, Diversity, Healthcare, Hospital, Insurance, Interpersonal Skills, Medical Office, Medical Treatment, Office Equipment, Patient Care, Physical Demands, Safety/Work Safety, Typing
LOCATION
Attleboro, MA
POSTED
1 day ago

Scheduled Weekly Hours: 40

  • Schedule: Hybrid M-F 7:30am-4pm (flexible days and hours)

Determine and monitor the insurance and authorization status of all Inpatient, Observation and Surgical Day Care accounts. Responsible for tracking and arranging copayment collection where applicable.

Education/Training:

  • High School diploma or equivalent

Licenses/Certification:

  • N/A

Required Qualifications and Skills:

  • Minimum of 1-3 years of experience in a health care related field.

Interpersonal skills to effectively interact with patients, physician offices, insurance companies and departments throughout the hospital

  • Excellent typing skills.
  • Ability to use computer and office equipment.

Preferred Qualifications and Skills:

  • Previous experience obtaining prior authorizations from payers
  • Third party knowledge
  • Business experience
  • Healthcare terminology/knowledge
  • Computer skills

Essential Job Functions:

(List the specific duties of this job - try to group, no more than 25):

  • Run payer eligibility
  • Call payers and/or electronically obtain prior authorization for departments within the hospital
  • Work with outside offices to insure they are obtaining Prior Authorization
  • Work closely with case management department to insure clinicals have been sent to the payer
  • Run daily reports as required
  • Call payers for follow-up on prior authorization status

Other duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

AGE AND DIVERSITY RELATED CRITERIA: Consistently treats patients, colleagues and visitors with the dignity and respect, while being sensitive to the differing needs of all age groups, backgrounds, characteristics and cultures.

ABILITY TO FULFILL JOB EXPECTATIONS: Must have the ability to the perform essential functions of the position, including required work hours, locations and physical demands, without posing a direct threat to the health and safety of themselves or other individuals in the work place, and with or without reasonable accommodation.

PHYSICAL DEMANDS:

Prolonged periods of sitting at a desk and working on a computer.

Must be able to lift up to 15 pounds at times.

  • Salary Range: $19.85-$30.05
  • Salary Range Details

The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value Sturdy Health's benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.

  • Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.

About the Company

S

Sturdy Memorial Hospital

We are a locally controlled, not-for-profit acute care community hospital committed to delivery of high quality, compassionate care that exceeds patient expectation. Our mission is to provide care to the sick and injured, on both an inpatient and outpatient basis, without regard to race, creed, national origin, age, gender, disability, or ability to pay.

Our hospital started in 1913 as a 15-bed facility and has now grown to be a 132-bed facility with over 1,000 employees. For over 100 years, we have been dedicated to providing our community with a full range of services. When you come to us you can expect to receive the highest quality treatment delivered with compassion and sensitivity.

Every employee, whether involved in direct patient care or working collaboratively to support patient care, is committed to providing patients with the highest quality of care throughout all hospital settings, and to transition that level of care into the community setting through partnerships across the care continuum.

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Healthcare Services
EMPLOYEE BENEFITS
Employee Referral Program, Employee Events, Retirement / Pension Plans, Tuition Reimbursement, Life Insurance, On Site Cafeteria, Paid Sick Days, Parking, Professional Development
FOUNDED
1913
WEBSITE
http://www.sturdymemorial.org