University of California
Prior Authorization Specialist
University of California, Los Angeles, California, United States, 90079
Description
As an Prior Authorization Specialist, you will be responsible for: Determining insurance eligibility, authorization and benefit verification Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence Answer telephone and written inquires Maintain filing systems Interface with medical staff and administrative personnel Salary Range: $30.47- $47.85 /hourly
Qualifications
We're seeking a self-directed professional with: Working knowledge in the insurance verification process and third party verification terminology Ability to scrutinize insurance data independently and evaluate information for clarity, accuracy, and completeness Knowledge in the functional operations of third party payers and utilization review agencies to expeditiously coordinate follow-up Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out of state Medicaid, or other sponsoring agencies Knowledge of health plans with special processing requirements for emergency patients and ability to effectively communicate these requirements to physicians and administrative personnel under time-urgent conditions Proficient in basic math Proficient in Microsoft Office Suite, specifically Excel, Word, and Outlook Availability to work rotating weekends and holiday coverage Note: May subject to test qualifying skills
As an Prior Authorization Specialist, you will be responsible for: Determining insurance eligibility, authorization and benefit verification Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence Answer telephone and written inquires Maintain filing systems Interface with medical staff and administrative personnel Salary Range: $30.47- $47.85 /hourly
Qualifications
We're seeking a self-directed professional with: Working knowledge in the insurance verification process and third party verification terminology Ability to scrutinize insurance data independently and evaluate information for clarity, accuracy, and completeness Knowledge in the functional operations of third party payers and utilization review agencies to expeditiously coordinate follow-up Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out of state Medicaid, or other sponsoring agencies Knowledge of health plans with special processing requirements for emergency patients and ability to effectively communicate these requirements to physicians and administrative personnel under time-urgent conditions Proficient in basic math Proficient in Microsoft Office Suite, specifically Excel, Word, and Outlook Availability to work rotating weekends and holiday coverage Note: May subject to test qualifying skills