Pre-Access Authorization Specialist - Full-time with Benefits

Frederick Health • Frederick, MD

2d • $18 - $26

About The Position

Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. Responsible for verifying patient demographic and financial information for all insurances and self-pay accounts. Responsible for verifying insurance authorizations for in-patient and out-patient services. The primary function of the Pre-Access Authorization Specialist position is to provide premier customer service to all referring physician and their office staff by obtaining facility authorizations for all patients scheduled. Example of Essential Functions: They must maintain extensive knowledge all areas of registration and scheduling including outpatient services, surgery and inpatient/observation stays. They will be required to verify insurance coverage and obtain insurance authorizations, notifications or referrals They are required to maintain a working knowledge of all insurance requirements for authorizations. They will maintain authorization performance statistics and report the results to management monthly. They will be required to meet and maintain the goals set forth by the Management Team. They will communicate status of authorizations to all parties.

Requirements

• Proficiency in the use of computer software, ability to operate a copier, fax machine, 10 key calculator and printer
• Excellent verbal and written communication skills in order to effectively interact with patients, customers, employees and Senior Leaders
• Must demonstrate the ability to follow verbal and written instructions
• Attention to detail, with the ability to analyze and determine the type of data needed to complete various types of patient registration functions
• Must demonstrate ability to manage time, deadlines, multiple request and priorities, maintain productivity and exercise good judgment with minimal supervision
• Must have the ability to apply policies and procedures regarding data security and confidentiality to prevent inappropriate release of patient information
• High school diploma or GED required
• One year hospital experience in the areas of registration and / or patient accounts or experience in a physician’s office practice required

Nice To Haves

• Some college coursework preferred (Business/Health Sciences)

Responsibilities

• verifying patient demographic and financial information for all insurances and self-pay accounts
• verifying insurance authorizations for in-patient and out-patient services
• provide premier customer service to all referring physician and their office staff by obtaining facility authorizations for all patients scheduled
• maintain extensive knowledge all areas of registration and scheduling including outpatient services, surgery and inpatient/observation stays
• verify insurance coverage and obtain insurance authorizations, notifications or referrals
• maintain a working knowledge of all insurance requirements for authorizations
• maintain authorization performance statistics and report the results to management monthly
• meet and maintain the goals set forth by the Management Team
• communicate status of authorizations to all parties

Benefits

• Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs.
• Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees.
• Frederick Health offers a robust Paid Time Off program for eligible employees.
• Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees.
• All employees have access to free financial planning sessions.
• We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees