Inpatient Insurance Authorization Representative - Hybrid

Inpatient Insurance Authorization Representative - Hybrid

Join to apply for the Inpatient Insurance Authorization Representative - Hybrid role at Sturdy Health
.

Flexible hours between 7am-5pm, 1-2 days remote once fully trained.

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.

• High School diploma or equivalent

• 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.

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

• 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.

Salary Range: $18.99-$23.07

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.