AMVETS Jobs

Prior Authorization Representative - Physical Medicine Requisition ID 2024-48688 Category Registration/Billing Overview The Prior Authorization Representative processes pre-authorizations in a timely manner and assures pre-authorizations are completed appropriately through communication with third party payers and clinics. When an authorization cannot be obtained, the representative must be able to guide staff, providers, and patients on the options available and complete the necessary steps to bring closure to the referral. Schedule: Part-time, Benefits Eligible. Monday - Thursday 7:45am-4:30pm. Location: Central Campus 700 Children's Dr Columbus, Ohio 43205 Why Nationwide Children's Hospital? The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children's Hospital, Where Passion Meets Purpose. Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission. We're 14,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we'll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere. Ask anyone with a Nationwide Children's badge what they do for a living. They'll tell you it's More Than a Job. It's a calling. It's a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere. Nationwide Children's Hospital. A Place to Be Proud. Responsibilities * Participates in pre-authorization documentation process by obtaining, compiling, maintaining, and issuing necessary records and reports, ensuring accuracy of content and correct distribution. * Corresponds with third party payer to obtain pre-authorizations for ordered injections, providing updates as needed. * Reviews pending pre-authorizations and provides follow up. * Communicates to clinics when peer to peer is requested and reviews clinic progress on pre-authorizations that require additional detail for approval. * Provides additional information requested by Patient Accounts to assist in billing issues involving pre-authorization. Qualifications Education: * High school graduate, required. * Associates degree, preferred. Skills: * Excellent verbal, written, and interpersonal communication skills. * Ability to work and problem solve with minimal supervision and retain complex and quickly changing information. * Knowledge of the impact of the revenue cycle on hospital operations. * Familiarity with medical terminology. * Keyboarding, typing, data entry skills. Experience: * One year pre-registration, registration, admitting, or customer service experience, preferred. * One year of experience in billing processes and insurance verification, preferred. * Working knowledge of HIS Work Queues, preferred. The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, dir