Prior Authorizations Specialist Job at Foundation Health Partners, Fairbanks, AK

dDR1T1lNT2h1dyt1VmZmQU9aY0NORm41c1E9PQ==
  • Foundation Health Partners
  • Fairbanks, AK

Job Description

Job TitleThis position is responsible for scheduling patient treatments or diagnostic procedures for assigned area.Job DescriptionActivities include pre-registration; receiving physician orders, insurance verification, gathering preauthorizations and pre-certifications. Maintains records and produces statistical reports as required. May distribute educational materials to patients and families if needed in assigned department.Pay & BenefitsCompensation: $21.07 to $30.34 hourly wage based on experience and education. Additional Pay: Shift Differential, Annual Increases, Paid Time Off. Benefits: medical, vision, dental, 401k with employer match. Education Benefits: FHP Tuition Assistance, Student Loan Forgiveness. Other Benefits: Onsite Gym, Wellness Programs, Discount programs. Schedule: Full-time, 40 hours per week, 5x8 hour day shifts, Monday - Friday.About Fairbanks Memorial HospitalFairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior with a strong patient-to-nurse ratio and Shared Leadership Infrastructure. In addition to our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty and endless recreation combine to create a one-of-a-kind place to live, work and play.ResponsibilitiesReceives physician orders and seeks clarification, if necessary. Verifies insurance, obtains preauthorizations and per-certifications. Answers all telephone inquiries related to scheduling. Schedules patients for treatments or diagnostic procedures using computerized scheduling systems. Resolves scheduling conflicts, as needed. Documents all information regarding patient re-schedules. Enters patient information in computerized scheduling system and gathers information and modifies records, as needed to maintain current database. Prepares charts and manages files within regulatory requirements. Compiles and reports statistical data, if needed by the assigned department. Distributes educational materials to patients and families, when necessary. Responds to diverse questions or refers to appropriate clinical staff. Provides administrative support to the assigned unit when required. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.QualificationsHigh school diploma/GED or equivalent working knowledge. The position also requires skills and abilities typically attained with 2 years of medical clerical experience; preferably in a hospital central scheduling or physician office scheduling setting. Medical terminology is required. Must possess excellent organizational skills, as well as effective human relations and communication skills. Must be proficient with commonly used office software and computers and possess the ability to use computerized scheduling systems. Must be able to maintain accurate statistical records, gather data, and produce reports. Additional related education and/or experience preferred.Foundation Health Partners is an EEO/AAP employer; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

Job Tags

Hourly pay, Full time, Work at office, Monday to Friday, Shift work, Day shift

Similar Jobs

Opportunity Healthcare

Physician Assistant (PA) - Radiology - Interventional - $110,000 to $120,000 per year in Tom Green County, TX Job at Opportunity Healthcare

 ...Physician Assistant | Radiology - Interventional Location: Tom Green County, TX Employer: Opportunity Healthcare Pay: $110,000 to $120,000 per year Shift Information: Days - 5 days Start Date: ASAP About the Position Interventional Radiology... 

American Honda Motor Co., Inc.

New Model Project Engineer- Assembly Job at American Honda Motor Co., Inc.

 ...powersports products toproduction in a manner that prevents negative impact. Key Accountabilities Develop and maintain department new model specified action plans. Review and track design changes impacting assembly. Determine change point impact to department and... 

Better Selves Therapy, Ltd

Entry-Level Mental Health Therapist - Remote in California Job at Better Selves Therapy, Ltd

 ...seeking compassionate and motivated Associate Level Mental Health Therapists to join our dynamic team...  ...to provide therapeutic services. \n A Bachelors Degree from an accredited institution in Counseling, Psychology, Social Work, or a related field. \n Demonstrable... 

USASJB

Work at home Data Entry Clerk - Part Time Job at USASJB

 ...products, services and also trends in todays market area. As a Team Member, you will certainly be doing numerous work such as online data entry, performing e-mail response, reviews, studies and also various other online jobs. This work at home work opportunity is extremely... 

Marco Technologies

Copier Service Technician Job at Marco Technologies

 ...Copier Service Technician IIThe Copier Service Technician II is responsible for maintaining, servicing, and repairing copier equipment at a client's site in a timely, high quality, and cost-effective manner.Essential Functions:Troubleshoot, diagnose, and resolve maintenance...