Job Summary
This role involves engaging with payers to obtain pre-authorization for planned services and ensuring readiness for reimbursement to the hospital based on the payer-provider agreements. Additionally, the position entails gathering clinical, financial, and demographic data from patients as required.
Responsibilities
- Contact payers to secure authorization for upcoming services.
- Ensure that reimbursements are aligned with payer-provider contracts.
- Collect necessary clinical, financial, and demographic information from patients.
Qualifications
- Associate degree in healthcare or business administration, or equivalent coursework or experience.
- A minimum of five years in related roles within a healthcare environment.
- Proven strong communication and customer service skills.
- Excellent organizational abilities.
