Verified Job
Healthcare
Prior Authorization/Scheduling Specialist - Orthopedics
Healthcare
#55301
Remote / WFH
Virtua Health
Job Description
Job ID: R1061989 Type: Full Time Location: Moorestown, New Jersey Standard Hours: 40 Shift: 1st Shift
Summary:
This position is responsible for obtaining prior authorizations for surgical procedures and ensuring accurate verification of patient benefits and eligibility.
Position Responsibilities:
Obtain prior authorizations of surgical procedures.
Verify benefits and eligibility on payer portals and via telephone.
Upload clinical documents, enters data into multiple data bases, and runs reports as required.
Alert facilitator of current or potential problems and assists in resolution.
Appeal denied cases.
Schedule peer to peers with Physician Providers.
Position Qualifications Required / Experience Required:
Previous medical clerical experience. Experience with prior authorizations strongly preferred.
Understanding of medical terminology.
Computer user proficiency (data entry).
Clear communication skills.
Professional phone demeanor.
Required Education:
High School Diploma or equivalent required.
Hourly Rate: $18.89 - $27.81 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.
Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.
Summary:
This position is responsible for obtaining prior authorizations for surgical procedures and ensuring accurate verification of patient benefits and eligibility.
Position Responsibilities:
Obtain prior authorizations of surgical procedures.
Verify benefits and eligibility on payer portals and via telephone.
Upload clinical documents, enters data into multiple data bases, and runs reports as required.
Alert facilitator of current or potential problems and assists in resolution.
Appeal denied cases.
Schedule peer to peers with Physician Providers.
Position Qualifications Required / Experience Required:
Previous medical clerical experience. Experience with prior authorizations strongly preferred.
Understanding of medical terminology.
Computer user proficiency (data entry).
Clear communication skills.
Professional phone demeanor.
Required Education:
High School Diploma or equivalent required.
Hourly Rate: $18.89 - $27.81 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.
Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.
