Description
UCLA HEALTH
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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 /hourlyQualifications
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