PONDERA MEDICAL CENTER Prior Authorization Specialist in CONRAD, Montana
QUALIFICATIONS: Education/Experience: Requires High School Diploma or equivalent, one year experience in healthcare registration or similar environment that demonstrates the knowledge, skills and abilities to perform the position duties. Prefer advance knowledge of healthcare authorizations, benefits and insurance company claims processing, 2-3 years third party eligibility verification or medical insurance billing experience, knowledge of medical coding terminology and Medicare and Medicaid billing regulations. Technical Skills: Proficient computer skills in Word, Excel and Outlook, Superior customer service skills, Excellent written and verbal communication skills with the ability to effectively communicate with customers, Strong organizational skills and excellent attention to detail, Ability to handle multiple tasks and establish priorities, Strong work ethic, self-motivation, ability to work independently and independent problem solving skills, Ability to be effective team player. DUTIES Include: performs a variety of duties in accordance with established hospital procedures and is responsible for verifying insurance benefits and obtaining prior authorizations from insurance companies on behalf of the patient prior to services being rendered. This position involves contacting insurance companies and when necessary primary and ordering physicians. EOE-AA-M/F-VET-DISABILITY?