Location
Irving, TX | United States
Job description
- Prepares report and conducts analysis of POD specific information & communication
- Supports an environment which fosters teamwork, cooperation, respect, and diversity
- Working in collaboration with denials RNs and under the general direction of the Director of Utilization Review, with oversight of authorization support staff workflows, this role is responsible to properly verify benefits, obtain authorizations, and perform assigned tasks(ER visits) or earlier if possible
- Ensures all benefits, authorization requirements & status, and collection notes are obtained by working with commercial or managed care payers, documented clearly and thoroughly on accounts in the pursuit of timely reimbursement within certain established timeframes as determined by the Director
- Maintains thorough knowledge of payer guidelines, has familiarity with payer processes for initiating authorizations, and follows through accordingly to prevent loss of reimbursement
- Basic computer skills (ieCommunicates professionally with an acceptable use of English (speaking, reading, and writing)
- Capable of working with people of diverse backgrounds
- Excellent customer service skills and great telephone etiquette
- ADN, BSN, or Diploma nursing degree
Job tags
Salary
