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3 jobs similar to PC Authorization Associate II

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US

  • Serves as front line support for the Patient Connection Center.
  • Reviews orders for outpatient hospital services to ensure completeness prior to scheduling.
  • Prepares for the patient visit by verifying patient insurance, confirming benefits, determining authorization requirements, reviewing medical necessity, and creating patient liability estimates.

Piedmont Healthcare provides healthcare services. They are a corporate business unit, but employee count isn't specified.

US

  • Verifies insurance eligibility, benefits, network status, and creates pre-service liability estimate.
  • Secures prior authorizations for outpatient imaging and in-office scheduled services.
  • Acts as a liaison between the payer and clinic schedulers/medical support staff.

University of Utah Health enhances the health and well-being of people through patient care, research, and education. They seek staff committed to compassion, collaboration, innovation, responsibility, integrity, quality, and trust, with five hospitals and eleven clinics.

US

  • Provide support to the Utilization Management Nurse and RN Appeals Writer.
  • Help prevent clinical denials related to lack of clinical authorization and untimely notifications.
  • Investigate root cause of clinical denials and document them in Epic and follow-up of appeal outcome.

Piedmont Healthcare provides healthcare services. They value diverse teams, a shared purpose, and schedule flexibility.