Rehab Prior Authorization Specialist

Brief Description

Are you detail-oriented, organized, and passionate about helping patients navigate the healthcare process? Join our Rehabilitation team as a Prior Authorization Specialist and play a vital role in ensuring patients receive timely access to the care they need.

Responsibilities

• Serve as the key liaison between healthcare providers, patients, and insurance payers to secure required authorizations for services, procedures, and admissions.
• Streamline the reimbursement process while supporting exceptional patient care.
• Credentials: Business curriculum preferred and three to six months related experience and/or training; or equivalent combination of education and experience. Previous experience in a hospital, physician practice, clinic, or healthcare setting preferred.
• Organizational skills with the ability to manage multiple priorities and deadlines.
• Excellent communication and problem-solving abilities.
• A commitment to accuracy, collaboration, and exceptional patient service.
• Coordinates outpatient rehabilitation registrations, insurance verification, and financial classification.
• Registers patients and manages authorizations using CPSI and Aprima.
• Verifies physician orders with providers, patients, and the rehabilitation department.
• Obtains and documents required prior authorizations from insurance payers.
• Collects and updates patient demographic and insurance information.
• Communicates benefit information and estimated patient responsibility to Patient Financial Counseling.
• Aids the Business Office with appeals related to authorization denials.

Requirements

• Education & Experience: Business curriculum preferred and three to six months related experience and/or training; or equivalent combination of education and experience. Previous experience in a hospital, physician practice, clinic, or healthcare setting preferred.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• Excellent communication and problem-solving abilities.
• A commitment to accuracy, collaboration, and exceptional patient service.

Benefits

• We offer competitive pay and a comprehensive benefits package to support your career growth and personal well-being.
• Details about our benefits can be found in our Benefits Guide.

Pay

Competitive pay offered.

Schedule

Flexible schedule to accommodate the needs of the position and the community.

Qualifications

None specified.

Skills

Not specified.

Benefits

Not specified.

Schedule

Not specified.

Application Instructions

Apply online at www.hrrmc.com.