Prior Authorization Rep Associate Radiology Virtual at Corewell Health

Job SummaryThis role will have up to a week of in person training in Grand Rapids MI but then move to work from home after that. Must live within an hour of the GR in case of any in person workProvides clerical support to assist in the delivery of quality healthcare services via a Financial Clearance model by way of obtaining accurate and timely authorizations. Crucial to obtaining an authorization is the ability to read and understand basic insurance information as well as perform a complete and accurate registration. Training will consist of six weeks of in-person instruction and will shift to remote training after that time pursuant on satisfactory progress including authorizations obtained daily and a passing audit score.Essential FunctionsDemonstrates the ability to utilize all payer websites and maintains up to date credentials to assist verifying patients coordination of benefits and authorization requirements.Able to perform chart abstraction to pull clinical data from a patients chart for review by a payers clinical team.Adheres to all department procedures guidelines and standard work with the ability to utilize resources appropriately.Complete authorization requests in a timely and efficient manor without compromising quality to ensure patients receive their care as scheduledCommunicates barriers effectively to avoid patient delays in care demonstrating critical thinking skills to anticipate and resolve barriers to success.Maintains a 90% or higher audit score consistently and be receptive to constructive feedback.Proficient in one primary service area with a firm understanding of the industry standard authorization requirements.Able to obtain 15 authorizations daily (consideration for type of service line)QualificationsRequiredRequired High School Diploma or equivalent1 year of relevant experience in related fieldPreferredPrior Authorization experienceEpic experiencePayor portal experienceBasic understanding of medical terminologyAbout Corewell HealthAs a team member at Corewell Health you will play an essential role in delivering personalized health care to our patients members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators leaders and innovators that continue to build on one shared mission statement - to improve health instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.How Corewell Health cares for youComprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.On-demand pay program powered by PayactivDiscounts directory with deals on the things that matter to you like restaurants phone plans spas and more!Optional identity theft protection home and auto insurance pet insuranceTraditional and Roth retirement options with service contribution and match savingsEligibility for benefits is determined by employment type and statusPrimary LocationSITE - Kentwood Medical Office Building - 4600 Breton Rd - KentwoodDepartment NamePre-AuthorizationsEmployment TypeFull timeShiftDay (United States of America)Weekly Scheduled Hours40Hours of Work8:30 a.m. to 5:00 p.m.Days WorkedMonday - FridayWeekend FrequencyN/ACURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.You may request assistance in completing the application process by calling 616.486.7447.Required Experience:IC Key Skills Hp Unix,Administration & Operation,Ado,IT Security,Management Administration Experience: years Vacancy: 1