Onsite Hospital Authorizations Specialist

Job Description

Job Description

Onsite Hospital Authorizations Specialist Opportunity! Weekly pay! $32+ per hour!

Position Summary
Primary function is to perform telephone and or on-line authorization for routine services, contacting care providers, monitoring concurrent and discharged authorization. To perform online data entry and scanning of routine authorizations, continued stay authorization and denials.

• Assists in gathering information needed to determine continued clinical authorization. Provides data entry, as appropriate.
• Contacts case managers/ providers with authorization, denial and appeal process information. Assists in educating and acts as a resource to primary care and specialty providers.
• Works closely with case managers, billers and support team to accomplish authorization/ verification.
• Obtains authorization from health plan, IPA, medical group's case managers.
• Works and resolve pended claims received without prior authorization.
• Serve as subject matter expert for assigned payor (s) as directed by patient access leadership while demonstrating broad knowledge of all payors in the hospital portfolio.
• Performs telephone and/ or on-line authorization for routine services, contacting care providers, monitoring concurrent and discharged authorization.
• Performs online data entry and scanning of routine authorizations, continued stay authorization and denial
  

Other Position Accountabilities

• Works effectively with patient access peers and other departments.
• Delivers exemplary customer service in accordance with hospital expectations / guidelines.
• Ability to work with high degree of confidentiality.
• Receive incoming mail with authorizations for extended stays.
• Answer incoming customer service calls.
• Provides support to Revenue Cycle work Team, as assigned.
• All other duties as assigned.

Equal Opportunity Employer considering qualified applicants in accordance with applicable state and federal laws. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the LA County Fair Chance Ordinance, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance and state law.

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