Highland Hospital of Rochester NY
Health Insurance & Authorization Specialist I
Highland Hospital of Rochester NY, Rochester, New York, United States
Health Insurance & Authorization Specialist I
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Health Insurance & Authorization Specialist I
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Highland Hospital of Rochester NY Health Insurance & Authorization Specialist I
2 days ago Be among the first 25 applicants Join to apply for the
Health Insurance & Authorization Specialist I
role at
Highland Hospital of Rochester NY Get AI-powered advice on this job and more exclusive features. Job Description
he Health Insurance and Authorization Specialist is responsible to assess and perform quality control function for all preadmission visits on surgical inpatient, short stay 23 (SS23), Endo and ambulatory procedures ensuring all pertinent information is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance eligibility and coverage verification using the three patient identifiers, confirming prior authorization is on file for correct level of care, inquires on prior auth denials and works with the Provider’s office to resolve, requests estimated cost and collects deposits for non-covered services, ensures appropriate medical justification is documented for out-of-network payers, refers our self-pay patients to Financial Case Management (FCM) for Medicaid assessment or Financial Assistance, reviews and validates MSP questions, monitors Medicare days for exhausted benefits, identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical requests Job Description
he Health Insurance and Authorization Specialist is responsible to assess and perform quality control function for all preadmission visits on surgical inpatient, short stay 23 (SS23), Endo and ambulatory procedures ensuring all pertinent information is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance eligibility and coverage verification using the three patient identifiers, confirming prior authorization is on file for correct level of care, inquires on prior auth denials and works with the Provider’s office to resolve, requests estimated cost and collects deposits for non-covered services, ensures appropriate medical justification is documented for out-of-network payers, refers our self-pay patients to Financial Case Management (FCM) for Medicaid assessment or Financial Assistance, reviews and validates MSP questions, monitors Medicare days for exhausted benefits, identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical requests
Salary Range
$19.62 - $26.49 an hour
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Auto req ID
16923BR
City
Rochester
Area of Interest
Clerical
Employment Status
Full-Time
Hours/Week
40hrs
Job Requirements
Education: High school Diploma or equivalent required. Associate degree preferred in related discipline (admitting/registration/patient billing/insurance); or equivalent experience Experience: Minimum of 3 years of related experience preferably in a hospital setting, medical office billing and or knowledge of third-party insurance regulations. Skills: Require high degree of professionalism and motivation with excellent communication and customer service skills, and medical terminology. Good interpersonal and telephone skills. Detail oriented. Computer, copier and FAX skills.
Req ID: None Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Highland Hospital of Rochester NY by 2x Get notified about new Health Insurance Specialist jobs in
Rochester, NY . Health Insurance Coordinator (Account Service)
Health Insurance & Authorization Specialist I
Rochester, New York Metropolitan Area $19.96-$27.94 2 weeks ago Mgr Health Insurance & Prior Authorization Spec
Rochester, NY $60,500.00-$75,000.00 6 days ago Rochester, NY $42,642.00-$50,884.00 4 days ago Rochester, NY $40,000.00-$74,000.00 1 month ago Rochester, New York Metropolitan Area 1 month ago Rochester, New York Metropolitan Area $19.47-$25.77 2 weeks ago Rochester, New York Metropolitan Area $17.00-$22.10 1 month ago Rochester, New York Metropolitan Area $17.00-$22.10 1 month ago Rochester, New York Metropolitan Area $50,000.00-$100,000.00 1 month ago Rochester, New York Metropolitan Area $18.03-$24.46 4 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Join to apply for the
Health Insurance & Authorization Specialist I
role at
Highland Hospital of Rochester NY Health Insurance & Authorization Specialist I
2 days ago Be among the first 25 applicants Join to apply for the
Health Insurance & Authorization Specialist I
role at
Highland Hospital of Rochester NY Get AI-powered advice on this job and more exclusive features. Job Description
he Health Insurance and Authorization Specialist is responsible to assess and perform quality control function for all preadmission visits on surgical inpatient, short stay 23 (SS23), Endo and ambulatory procedures ensuring all pertinent information is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance eligibility and coverage verification using the three patient identifiers, confirming prior authorization is on file for correct level of care, inquires on prior auth denials and works with the Provider’s office to resolve, requests estimated cost and collects deposits for non-covered services, ensures appropriate medical justification is documented for out-of-network payers, refers our self-pay patients to Financial Case Management (FCM) for Medicaid assessment or Financial Assistance, reviews and validates MSP questions, monitors Medicare days for exhausted benefits, identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical requests Job Description
he Health Insurance and Authorization Specialist is responsible to assess and perform quality control function for all preadmission visits on surgical inpatient, short stay 23 (SS23), Endo and ambulatory procedures ensuring all pertinent information is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance eligibility and coverage verification using the three patient identifiers, confirming prior authorization is on file for correct level of care, inquires on prior auth denials and works with the Provider’s office to resolve, requests estimated cost and collects deposits for non-covered services, ensures appropriate medical justification is documented for out-of-network payers, refers our self-pay patients to Financial Case Management (FCM) for Medicaid assessment or Financial Assistance, reviews and validates MSP questions, monitors Medicare days for exhausted benefits, identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical requests
Salary Range
$19.62 - $26.49 an hour
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Auto req ID
16923BR
City
Rochester
Area of Interest
Clerical
Employment Status
Full-Time
Hours/Week
40hrs
Job Requirements
Education: High school Diploma or equivalent required. Associate degree preferred in related discipline (admitting/registration/patient billing/insurance); or equivalent experience Experience: Minimum of 3 years of related experience preferably in a hospital setting, medical office billing and or knowledge of third-party insurance regulations. Skills: Require high degree of professionalism and motivation with excellent communication and customer service skills, and medical terminology. Good interpersonal and telephone skills. Detail oriented. Computer, copier and FAX skills.
Req ID: None Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Highland Hospital of Rochester NY by 2x Get notified about new Health Insurance Specialist jobs in
Rochester, NY . Health Insurance Coordinator (Account Service)
Health Insurance & Authorization Specialist I
Rochester, New York Metropolitan Area $19.96-$27.94 2 weeks ago Mgr Health Insurance & Prior Authorization Spec
Rochester, NY $60,500.00-$75,000.00 6 days ago Rochester, NY $42,642.00-$50,884.00 4 days ago Rochester, NY $40,000.00-$74,000.00 1 month ago Rochester, New York Metropolitan Area 1 month ago Rochester, New York Metropolitan Area $19.47-$25.77 2 weeks ago Rochester, New York Metropolitan Area $17.00-$22.10 1 month ago Rochester, New York Metropolitan Area $17.00-$22.10 1 month ago Rochester, New York Metropolitan Area $50,000.00-$100,000.00 1 month ago Rochester, New York Metropolitan Area $18.03-$24.46 4 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr