Patient Access Specialist (differential Waiver) - Prior Authorization

Sanford Health

$16.50 - $26.50; not specified; not specified ph
Fully remote
Insurance eligibility verification
Prior authorization process
Medical necessity documentation
Sanford Health is a large and growing not-for-profit health system offering development and advancement opportunities

Job Summary

  • Sanford Health is a large and growing not-for-profit health system offering development and advancement opportunities.
  • The Patient Access Specialist reviews and validates insurance eligibility, prior authorization, and/or referral of medication, procedures, etc.
  • This role involves collecting documentation, communicating with payers and providers, and ensuring prior authorization for medical services.

Matching Summary

Sanford Health is a large and growing not-for-profit health system offering development and advancement opportunities.

Salary

$16.50 - $26.50; Not specified; Not specified

Skills & Requirements

Must-have

  • Insurance eligibility verification
  • Prior authorization process
  • Medical necessity documentation
  • Communicate with third party payers
  • Verify benefit coverage

Nice-to-have

  • Development and advancement opportunities
  • Collaborate with cross-functional teams
  • Prepare reports and presentations

Key Requirements

  • Minimum two years of experience
  • Hospital or clinic setting experience
  • Understanding of medical terminology
  • Insurance background required
  • High school diploma or equivalent preferred

Work Rights

Not specified

Tailored Resume

Cover Letter