Prior Authorization Specialist

Description

Memorial Hospital
Clerical/Administrative Support
Req #: 11328

Summary:
The Prior Authorization Specialist - MEM SH role verifies insurance eligibility, benefits, verification, prior authorization and researches denied services to ensure payments are processed on a timely basis.

Required Minimum Knowledge, Skills, and Abilities (KSAs):
1. Education: High school diploma or GED preferred.
2. License/Certifications: N/A
3. Experience: Medical Assistant, Patient Service Representative or medical billing experience required.
4. Additional Skills/Requirements Required: N/A
5. Additional Skills/Requirements Preferred: Medical Terminology. Knowledge of Medical Insurance and concept of referrals/pre-authorizations.