Prior Authorization/Scheduling Specialist - Orthopedics
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 databases, and runs reports as required.
- Alert facilitator of current or potential problems and assists in resolution.
- Appeal denied cases.
- Schedule peer to peer 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.
Pay
The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.
Benefits
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.
Schedule
Standard Hours: 40 Shift: 1st Shift