Prior Authorization Clerk
Taylor Regional Hospital · Campbellsville, KY · 5 days ago
AdministrativeFull-time
About the role
Join Taylor Regional Hospital and help us uphold our vision of being the preferred healthcare provider, dedicated to enhancing the quality of life in our community.
Responsibilities
- Obtain prior authorizations for outpatient and inpatient procedures, imaging, surgeries, therapies, medications, and other services as required.
- Daily serves as front line patient contact. Handles scheduling, managing multi-line phone system, check-in patient process, and daily maintains of filing of patient medical records.
- Verify patient insurance eligibility and benefits.
- Ensure compliance with HIPAA and all federal, state, and organizational policies.
- Filing medical reports in charts timely, reviews and prints dictation, accurately enters patient demographics, insurance information timely and accurately.
- Communicate authorization approvals, denials, or additional documentation requests to providers and appropriate departments.
- Maintain authorization status and follow up with insurance companies as needed.
- Aid in appeals or reconsideration requests for denied authorizations when appropriate.
Requirements
- High School Diploma or equivalent required
- 1-2+ years experience preferred
Job Demands
- Strong Attentive Communication Skills
- Ability to work at a fast pace
- Prolonged periods of sitting and computer use
Benefits
- Competitive pay & benefits
- Tuition reimbursement
- Supportive team culture
- Hospital Funded Pension Plan
- Comprehensive Benefit Package
- 30% off in the Cafe
Pay
Competitive pay is offered.
Schedule
Full Time position- Day Shift
Contact Information
Human Resources
1700 Old Lebanon Road
Campbellsville, KY 42718
Phone: 270-789-5823