Prior Authorization Specialist
cinqgroup
Full time
Prior Authorization Specialist
nationwidechildrens· 10 Nationwide Children's Hospital
About this role
Overview:
Schedule: M-F (Day shift, 40 hours per week)
This is a temporary position without guarantee of conversion to full-time employment.
Job Description Summary:
Job Description:
- Verifies patient insurance coverage and eligibility for homecare services.
- Processes and submits insurance claims for reimbursement.
- Communicates with patients, insurance companies, and healthcare providers to resolve billing issues.
- Maintains accurate and up-to-date patient records and billing information.
- Monitors and tracks outstanding claims and follows up on unpaid or denied claims.
- Ensures compliance with all relevant regulations and guidelines related to homecare billing and reimbursement.
Education Requirement:
High School Diploma or equivalent, required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
(not specified)
Experience:
- Two years ofexperience billing public and private insurers for medical services using computerized billing system, required.
- Homecare services experience, preferred.
Physical Requirements:
OCCASIONALLY: Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Standing, Walking
FREQUENTLY: (none specified)
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting
Additional Physical Requirements performed but not listed above:
Talking on the phone / in person Frequently (34 - 66%)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
Frequently Asked Questions
Is the salary disclosed for the Prior Authorization Specialist position at nationwidechildrens?
The salary for this Prior Authorization Specialist role at nationwidechildrens is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Prior Authorization Specialist position at nationwidechildrens located?
This Prior Authorization Specialist role at nationwidechildrens is based in 255 E. Main St, Columbus, OH. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Prior Authorization Specialist role at nationwidechildrens full-time or part-time?
This is listed as a Full time position. It is posted as a Prior Authorization Specialist role in the 10 Nationwide Children's Hospital department at nationwidechildrens.
Which team or department does the Prior Authorization Specialist at nationwidechildrens belong to?
This Prior Authorization Specialist position is part of the 10 Nationwide Children's Hospital department at nationwidechildrens. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Prior Authorization Specialist position at nationwidechildrens?
Click the "Apply Now" button on this page. You will be redirected to nationwidechildrens's official application portal hosted on workday where you can submit your application directly.
Prior Authorization Specialist
nationwidechildrens
You'll be redirected to nationwidechildrens's official application page on Workday.