Prior Authorization Specialist

MaineHealth
medical insurance, parental leave
United States, New Hampshire, North Conway
Nov 23, 2024
Description Memorial Hospital Clerical/Administrative Support Req #: 11328 Summary: The Prior Authorization Specialist - MEM SH role verifies insurance eligibility, benefits, verification, prior authorization and researches denied services to ensure payments are processed on a timely basis. Required Minimum Knowledge, Skills, and Abilities (KSAs): 1. Education: High school diploma or GED preferred. 2. License/Certifications: N/A 3. Experience: Medical Assistant, Patient Service Representative or medical billing experience required. 4. Additional Skills/Requirements Required: N/A 5. Additional Skills/Requirements Preferred: Medical Terminology. Knowledge of Medical Insurance and concept of referrals/pre-authorizations. Additional Information With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it. We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family. MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today.