15 days old

Authorization Specialist

Mission Hospitals
Ashville, AL 35953

Overview and Qualifications

Mission Health in Asheville, NC is looking for a Full-Time Authorization Specialist to join the team!

 

The Authorization Specialist in the Pre Access Services department is primarily responsible for completing benefits review and prior authorization as required by all payers for scheduled services. The Specialist interfaces directly with physicians, practice staff, payer representatives and patients on a daily basis to review scheduled services and to ensure complete and accurate information is documented. This role completes necessary clinical review for prior authorizations as required by governmental and commercial payers; satisfying maximum net revenues and minimum avoidable losses for authorizations. The ability to multi-task in multiple business office / practice management systems and offer exceptional customer call service is the foundation of this role.

 

Required Education: High school diploma or equivalent.

 

Preferred Education: Associates Degree in medical office management, medical insurance, or medial coding.

 

Preferred License: Certified Coder

 

Required Experience: Three years of experience working in hospital service access, clinical service access, physician office scheduling, medical records, or medical coding. Or successful completion and demonstrated competency of the required Revenue Cycle Education Body of Knowledge for Pre Access Services.Proficient in Microsoft Word and Excel. Strong written and verbal communication skills. Must be able to work well with co-workers, physicians and nursing staff. Ability to work independently and with the many levels of customers. Must have experience with critical thinking and problem solving.

 

Preferred Experience: Five years of experience in a medical services front office, coding or coding assistance. Experience with Cerner Millennium, Allscripts Enterprise Practice Management System, Healthquest, Artiva, Insurance claims and Medicaid eligibility.Qualified Spanish-speaking applicants encouraged to apply.

 

ABOUT MISSION HEALTH

Mission Health, an operating division of HCA Healthcare, is based in Asheville, North Carolina and is the states sixth largest health system. In 2018, for the sixth time in the past seven years, Mission Health has been named one of the nations Top 15 Health Systems by IBM Watson Health (formerly Truven Health Analytics). Mission Health is the only health system in North Carolina to achieve this recognition. Mission Health operates six hospitals, numerous outpatient and surgery centers, post-acute care provider CarePartners, long-term acute care provider Asheville Specialty Hospital, and the regions only dedicated Level II trauma center. With approximately 12,000 colleagues and 2,000 volunteers, Mission Health is dedicated to improving the health and wellness of the people of western North Carolina. For more information, please visit missionhealth.org or @MissionHealthNC.

 

Mission Health is an Equal Opportunity Employer, and as such offers equal employment opportunities to applicants and employees without regard to race, color, religion, national origin, age, disability, gender, gender identity, sexual orientation, genetic information, protected veteran status or any other protected characteristic.

Posted: 2019-11-22 Expires: 2019-12-22

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Authorization Specialist

Mission Hospitals
Ashville, AL 35953

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