Scheduling & Auth Specialist 2
Company: Loma Linda University Health
Location: Loma Linda
Posted on: January 24, 2023
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Job Description:
CH: Pediatric Diabetes Center (Full-time, Day shift) -
Our mission is to continue the teaching and healing ministry of
Jesus Christ. Our core values are compassion, excellence, humility,
integrity, justice, teamwork and wholeness.
The Scheduling & Auth Specialist 2 is responsible for financially
clearing insurance verifications for all services and patient
financial classifications, reviewing medical records, interfaces
with payers to extend authorization for treatment, collaborates
with Patient Business Office (PBO), assists with reimbursement and
authorization according to contracts, and supports the denials and
appeals process. Obtains pertinent documentation to support
authorization requests. Serves as the liaison between PBO, Central
Authorization, physicians, outside medical groups (OMG), various
insurance carriers, patients, and all departments for office
visits, in-patient and out-patient services. Performs other duties
as needed.
Associate's Degree required. Minimum three years of related
experience required. Minimum one year of healthcare experience
preferred. Experience may be considered in lieu of degree.
Knowledge of various insurance types and their guidelines,
including the ability to read and interpret EOB's. Working
knowledge of current ICD and CPT coding systems. Able to keyboard
40 wpm. Able to read; write legibly; speak in English with
professional quality; use computer, printer, and software programs
necessary to the position (e.g., Word, Excel, Outlook, PowerPoint).
Operate/troubleshoot basic office equipment required for the
position. Essential Interpersonal Skills: Able to relate and
communicate positively, effectively, and professionally with
others; work calmly and respond courteously when under pressure;
collaborate and accept direction. Able to communicate effectively
in English in person, in writing, and on the telephone; think
critically; manage multiple assignments effectively; organize and
prioritize workload; work well under pressure; problem solve;
recall information with accuracy; pay close attention to detail;
work independently with minimal supervision. Able to distinguish
colors as necessary; hear sufficiently for general conversation in
person and on the telephone, and identify and distinguish various
sounds associated with the workplace; see adequately to read
computer screens, and written documents necessary to the
position.
Medical coding certification preferred.
Additional Information
Compensation
US Dollar (USD)
19.52
US Dollar (USD)
27.59
Keywords: Loma Linda University Health, Fontana , Scheduling & Auth Specialist 2, Other , Loma Linda, California
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