It is the mission of Graham Health System to provide compassionate, quality health services, in a responsible and charitable manner, to the people and communities we serve. We are the community’s choice for an exceptional healthcare experience. Graham Health System is seeking a great applicant to join our team. Graham Health System offers a great team atmosphere with multiple benefits. Our goal is to provide the very best in healthcare, state-of-the-art equipment, modern facilities, and a caring, compassionate staff, all close to home. We offer a great team atmosphere with a competitive wage and benefit package for our dedicated employees. Opportunely, we are always in search of great applicants to join our team.
The Prior Authorization Specialist is responsible for ensuring payers are prepared to reimburse Graham Health
System for scheduled services and Inpatient and Observation stays in accordance with the payer
requirements. The Specialist will work in collaboration with clinical staff to request authorization for the
service(s) to be performed. This position reports to the Director of GH Patient Access.
Position Requirements
High School Diploma with two years of college or professional schooling preferred.
Some experience in medical billing or insurance authorization.
Position Knowledge/Skills
Understanding of clinic and hospital operations in relation to patient registration, referrals, authorizations, and point of service collections.
Expert verbal and written communication skills and ability to communicate effectively with multiple levels and groups of people.
Comprehensive working knowledge of Medicare, Medicaid, and commercial third party insurance processes required.
Intermediate computer skills including Windows programs (Excel and Word).
Ability to make decisions and work independently.
Ability to multitask between multiple technology systems with interruptions.
Tendency to approach problems with a fresh, creative prospective
We strongly encourage you to include an updated resume when submitting your application.
Benefits of working at GHS:
Cost of Living Adjustment every July
Financial Assistance and Loan Forgiveness may be available
Daycare Assistance
The pay grade assigned to this position is 2500; the link provided shows the pay range. Compensation InformationAll wages are determined by experience and skills; wage information will be discussed further upon interview selection.
The position status type is full-time. Benefits associated with the employment status can be found in the link provided. Benefit Package
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