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ZS
Zion Surgery Center
Prior Authorization Specialist
Career Insights for Medical Claims Processor / Representative
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Based on Utah data
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What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$43,517 / year median in Utah
-2% projected decline
Job Description
Looking for a full-time surgical scheduler/prior authorization specialist for our surgery center in St George. Hours will be Monday - Friday from 8 am to 5 pm. The position will include health insurance, paid holidays and paid time off. Looking for someone with a great work ethic and a positive attitude. Responsibilities and Duties Answer the telephone in a courteous and professional manner within 3 rings Schedule appointments according to the desired schedule. Organize overflowing paper documents and distribute the required information. Verify and maintain answering service schedule Respect and maintain the privacy and dignity of the patient, and assure patient confidentiality at all times. Greeting patients when they enter a medical office. Explain necessary medical and insurance forms and gather those forms along with any insurance co-pays. Collect and deposit fees according to protocols, prepare and balance daily financial registers and submit all forms and fees to the billing department. Determine the financial status of patients and their eligibility for health services, assist patients in accurately completing appropriate forms and documents for the required information Enter patient demographics and information into the software for new patients, along with any verifying any changes for returning patients. Schedule, Fax, Scan all required documents for treatment of patient along with all necessary procedures Call and schedule necessary exams, labs, appointments with other facilities for proper coordination of care Bilingual is a plus