Job Summary

• Responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services.
• This individual determines which patient services have third party payer requirements and is responsible for obtaining the necessary authorizations for care, via phone, fax, or payer websites.
• The Specialist provides detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record.

Matching Summary

Salary

Pay Rate Type Hourly; Pay Grade Health-20; Scheduled Weekly Hours 40

Skills & Requirements

Key Requirements

• High School Degree or Equivalent
• 1 year work experience

Work Rights