UCLA Health
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
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
UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.
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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
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
UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.
#J-18808-Ljbffr