Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Comprehensive healthcare benefits from day one, including vision and dental coverage
- Supportive and collaborative work environment that values teamwork and diversity
- Chance to work remotely from home in Pennsylvania
- Engaging role as a liaison between patients and insurance providers, impacting patient care

What to Expect (Job Responsibilities):
- Obtain and secure prior authorization for high-end procedures and specialty patients
- Establish and maintain communication with providers, nurses, and office staff for peer-to-peer reviews and denials
- Conduct research and follow-up activities on assigned accounts according to established procedures
- Assist with billing and precertification processes to ensure timely reimbursement for services rendered
- Recommend process improvements to enhance efficiency in financial operations

What is Required (Qualifications):
- Minimum educational requirement: High School Diploma or Equivalent (GED)
- Minimum of 2 years of related work experience
- Ability to communicate effectively and work collaboratively in a team environment
- Strong organizational skills and proficiency in understanding financial regulations
- Competence in mathematics and analytical skills to meet financial targets

How to Stand Out (Preferred Qualifications):
- Experience in healthcare insurance authorization processes
- Familiarity with billing and coding practices
- Knowledge of financial clearance and collection processes
- Ability to handle complex financial and medical situations effectively

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