<p>Flexible hours between 7am-5pm, 1-2 days remote once fully trained</p> <p>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.</p> <p>Education/Training:</p> <ul> <li>High School diploma or equivalent </li></ul> <p>Required Qualifications and Skills:</p> <ul> <li>Minimum of 1-3 years of experience in a health care related field. </li><li>Interpersonal skills to effectively interact with patients, physician offices, insurance companies and departments throughout the hospital </li><li>Excellent typing skills. </li><li>Ability to use computer and office equipment. </li></ul> <p>Preferred Qualifications and Skills:</p> <ul> <li>Previous experience obtaining prior authorizations from payers </li><li>Third party knowledge </li><li>Business experience </li><li>Healthcare terminology/knowledge </li><li>Computer skills </li></ul> <p>Essential Job Functions:</p> <ul> <li>Run payer eligibility </li><li>Call payers and/or electronically obtain prior authorization for departments within the hospital </li><li>Work with outside offices to insure they are obtaining Prior Authorization </li><li>Work closely with case management department to insure clinicals have been sent to the payer </li><li>Run daily reports as required </li><li>Call payers for follow-up on prior authorization status </li></ul> <p>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.</p> <p>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.</p> <p>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.</p> <p>PHYSICAL DEMANDS:</p> <p>Prolonged periods of sitting at a desk and working on a computer.</p> <p>Must be able to lift up to 15 pounds at times.</p> <ul> <li>Salary Range:$18.99-$23.07 </li></ul> <p>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.</p>