Prior Authorization Specialist

Nationwide Children's Hospital

Columbus, OH, United States
Billing public and private insurers
Computerized billing system
Resolving billing issues
Coordinates patient accounts from prior authorization to point of bill payment or referral to collection

Job Summary

  • Coordinates patient accounts from prior authorization to point of bill payment or referral to collection.
  • Verifies patient insurance coverage and eligibility for homecare services and processes and submits insurance claims for reimbursement.
  • Ensures compliance with all relevant regulations and guidelines related to homecare billing and reimbursement.

Matching Summary

Coordinates patient accounts from prior authorization to point of bill payment or referral to collection.

Skills & Requirements

Must-have

  • billing public and private insurers
  • computerized billing system
  • resolving billing issues
  • patient records and billing information
  • following up on unpaid claims

Nice-to-have

  • homecare services experience
  • resolving billing problems
  • maintaining current knowledge

Key Requirements

  • High School Diploma or equivalent
  • Two years of experience billing
  • medical services using computerized billing system

Work Rights

Not specified

Tailored Resume

Cover Letter