Jobs · Information Technology · New Jersey

Prior-Authorization/Scheduling Specialist - Pulmonary

Virtua Health · Marlton, NJ · 2 wk ago
Information Technology$18.89–$27.81/hrFull-time

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 meetings 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.

Benefits

  • 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.
  • An employee assistance program that includes free counseling sessions.

Pay

$18.89 - $27.81 hourly.

Schedule

Virtua offers a flexible schedule for full-time and part-time colleagues.

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