Pre Authorization LPN

Overview As our Prior Authorization LPN at St. Vincent, you will help patients and healthcare providers by facilitating the pre-authorization process for radiology services so they can receive timely and accurate care. This is for our Radiology West Clinic. Every day, you will collaborate with payers and healthcare teams. You will be expected to communicate payer requirements, track authorization requests, and ensure compliance with payer guidelines. To be successful in this role, you must possess strong communication skills, knowledge of insurance billing procedures, and experience with pre-certification processes. CHI St Vincent Infirmary is a 600 bed faith-based, non-profit, acute care facility providing quality health care to patients and communities from all over the State of Arkansas. Our level II trauma center is a regional referral center for cardiology, trauma, behavioral health, cancer care, neurosciences, and other specialties. We have been consistently named by US News & World Report as one of the State’s best hospitals, with high performance in heart care, colorectal surgery, and joint replacement. If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us. Responsibilities Manage communication with third-party payers to secure pre-authorizations for radiology services. Collaborate with clinic and hospital departments to ensure timely transmission of clinical information. Assist with payer notifications, maintain databases, and identify process improvement opportunities for denied authorizations. Qualifications Associate Degree in a healthcare-related field 3+ years of experience in pre-certification, referrals, and insurance billing processes Active LPN license in good standing with the Arkansas State Board of Nursing ACLS certification required While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, and more! #J-18808-Ljbffr