Insurance Verification Specialist / Rehabilitation Authorizations - Shriners Hospitals for Children - Portland, OR

Insurance Verification Specialist / Rehabilitation Authorizations - Shriners Hospitals for Children - Portland, OR -

Job Description Shriners Hospitals for Children is hiring an Insurance Verification Specialist devoted to Rehab authorizations for bodily, occupational, and speech remedy providers. This place might be 1.zero FTE, Monday by way of Friday. Main Job Features: Completes insurance authorization course of for Rehab providers together with bodily, occupational, and speech remedy. Conducts ongoing communication with physicians, therapists and insurance corporations to make sure prior approval necessities are met. Follows protocols for correct authorization and processing of all remedy providers ordered by SHC medical employees. Maintains authorization worklist for pending remedy orders, and manages mandatory actions appropriately. Enters authorization particulars and different affected person info into pc system in accordance with process. Accountable for monitoring authorization requests not acquired and conducts well timed comply with-up. Assists in educating remedy employees on applicable service codes, and greatest practices for justification of remedy providers. Notifies medical employees and sufferers/household of authorization standing as wanted. Assists sufferers with exterior assets when wanted. Job Necessities Prior expertise conducting authorizations in a multi-specialty outpatient remedy setting (bodily, occupational, and speech) Orthopedic coding information in ICD-10 and CPT for remedy providers Insurance expertise—business plans, and OR/WA Medicaid Wonderful customer support expertise over telephone and in individual Affected person database expertise with Cerner, Epic, and so on. Capability to pay attention and talk successfully in numerous conditions Wonderful written and verbal communication expertise Medical terminology HIPAA information and confirmed compliance Multi-line telephone Present American Coronary heart Affiliation BLS for Healthcare Suppliers CPR Card

39 evaluations

About Shriners Hospital in Philadelphia – The Shriners Hospital in Philadelphia is a 59-bed pediatric orthopaedic hospital offering a…

CLICK TO APPLY JOB

Tweet

Subscribe to receive free email updates: