Prior Authorization Coordinator-NEHI Full Time Day Shift

Company: Catholic Medical Center
Location: Manchester
Posted on: May 3, 2021

Job Description:

Prior Authorization Coordinator is responsible for obtaining and coordinating all pre-authorization/pre-certification per payer requirements for cardiology and ancillary testing requested by our cardiology providers. Information obtained by insurance companies and/or third party representatives for services requested are documented in appropriate systems to ensure proper communication is maintained with providers, clinical staff, and patients in relationship to the authorization status.Education:* High School diploma or equivalent.Experience:* Minimum of 3 years experience in an office setting preferred.* Knowledge of CPT, HCPCS, and ICD-10 codes requiredLicensure/Certification:* NoneStandard of Business ConductIndividuals are required to refrain from participating in any activities that could be construed as fraud and abuse. Requires the ability to follow Catholic Medical Center's Standards of Business Conduct in any instance where you feel there is suspicion of fraud or abuse, or a violation of the law. Requires that suspicion or knowledge of any persons violation of the Code be reported to the Corporate Compliance Officer. The extent to which you comply with the requirements contained within the Code will be a factor in evaluating your overall job performance.

Keywords: Catholic Medical Center, Manchester , Prior Authorization Coordinator-NEHI Full Time Day Shift, Other , Manchester, New Hampshire