Brown University Health
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Supv Prior Authorization
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Brown University Health SUMMARY: Under the general supervision of the Manager of Prior Authorization, supervises the integrity of each Lifespan Cancer Institute (LCI) location insurance prior authorization process. Leads the team of Patient Financial Advocates in the arrangement follow-up patient referrals, ensuring patient financial clearance from insurance companies have been received as well as possible trouble shooting as needed. RESPONSIBILITIES: PRINCIPAL DUTIES AND RESPONSIBILITIES: Assists with interviews, orients, trains, and assigns work to staff. Evaluates performance and recommends corrective action as appropriate. Regularly assesses quality assurance reviews of work in progress. Provides guidance to staff regarding work processes, acting as resource to staff to resolve work-related issues. Establishes, maintains, and revises as necessary records and filing systems. Propose changes in work procedures to more effectively coordinate flow of work through area of responsibility. Develops and maintains effective working relationships with other department personnel. Collaborates with various Lifespan personnel in order to resolve billing issues, prior-authorizations, denials and insurance denials/write-offs. Regularly participates in business team meetings with staff and management to make recommendations where there are perceived problems. Performs all duties in accordance with Rhode Island Hospital’s mission. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: High School diploma or equivalency required. Level of knowledge of business systems, office procedures, and computer database and basic computer skills normally acquired through completion of one year post-secondary business program, or the equivalent. EXPERIENCE: Two years progressively responsible experience in health care with a heavy emphasis in one or more of the following areas: patient care environment, healthcare operations, database management, documentation and departmental operations. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: Work is performed in a normal office environment. Pay Range : $52,019.97-$85,820.28 EEO Statement : Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status. Brown University Health is a VEVRAA Federal Contractor. Location : The Miriam Hospital - 164 Summit Ave Providence, Rhode Island 02906 Work Type : Remote Work Shift : Day Daily Hours : 8 hours Driving Required : No
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Supv Prior Authorization
role at
Brown University Health SUMMARY: Under the general supervision of the Manager of Prior Authorization, supervises the integrity of each Lifespan Cancer Institute (LCI) location insurance prior authorization process. Leads the team of Patient Financial Advocates in the arrangement follow-up patient referrals, ensuring patient financial clearance from insurance companies have been received as well as possible trouble shooting as needed. RESPONSIBILITIES: PRINCIPAL DUTIES AND RESPONSIBILITIES: Assists with interviews, orients, trains, and assigns work to staff. Evaluates performance and recommends corrective action as appropriate. Regularly assesses quality assurance reviews of work in progress. Provides guidance to staff regarding work processes, acting as resource to staff to resolve work-related issues. Establishes, maintains, and revises as necessary records and filing systems. Propose changes in work procedures to more effectively coordinate flow of work through area of responsibility. Develops and maintains effective working relationships with other department personnel. Collaborates with various Lifespan personnel in order to resolve billing issues, prior-authorizations, denials and insurance denials/write-offs. Regularly participates in business team meetings with staff and management to make recommendations where there are perceived problems. Performs all duties in accordance with Rhode Island Hospital’s mission. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: High School diploma or equivalency required. Level of knowledge of business systems, office procedures, and computer database and basic computer skills normally acquired through completion of one year post-secondary business program, or the equivalent. EXPERIENCE: Two years progressively responsible experience in health care with a heavy emphasis in one or more of the following areas: patient care environment, healthcare operations, database management, documentation and departmental operations. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: Work is performed in a normal office environment. Pay Range : $52,019.97-$85,820.28 EEO Statement : Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status. Brown University Health is a VEVRAA Federal Contractor. Location : The Miriam Hospital - 164 Summit Ave Providence, Rhode Island 02906 Work Type : Remote Work Shift : Day Daily Hours : 8 hours Driving Required : No
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