Prior-Authorization/Scheduling Specialist - Pulmonary

Virtua Health Surgical Procedure Prior Authorization Specialist

Location: Marlton - 750 Route 73

Employment Type: Employee

Employment Classification: Regular

Time Type: Full time

Work Shift: 1st Shift (United States of America)

Total Weekly Hours: 40

This position is responsible for obtaining prior authorizations for surgical procedures and ensuring accurate verification of patient benefits and eligibility.

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 assist in resolution.
• Appeal denied cases.
• Schedule peer to peers 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.

Hourly Rate: $18.89 - $27.81 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.

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. Eligibility for benefits is governed by the applicable plan documents and policies.