PRIOR AUTHORIZATION REP at Southwest General – Middleburg Heights, Ohio
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About This Position
Southwest General Health Center is a 352-bed community hospital located in Middleburg Heights, Ohio. One of the last standing community hospitals in Northeast Ohio, we partner with University Hospitals and other local community organizations to provide a full range of services to all who need us. We are certified as a Level III Trauma Center and a Primary Stroke Center, and have been serving our community for over 100 years!
Why work at SWGHC? In addition to the outstanding culture, we offer great benefits, no rotating shifts, free parking and are close to the turnpike and I71. Come join our team! #loveajobthatlovesyouback
PRIOR AUTHORIZATION REPRESENTATIVE
HOURS:
POSITION SUMMARY:
The Prior Authorization Rep position reviews patients accounts to determine if an authorization is needed for their services. If authorization is required they work with insurance companies and physician offices to obtain authorization for outpatient services throughout the Health Center. This position in a fast-paced office environment. The Prior Auth Rep also pre-registers, verifies insurance coverage and provides third party benefit education to customers. This position mentors new teammates and helps with auditing new hire workload.
MINIMUM QUALIFICATIONS:
Education:
High school diploma or GED required.
Bachelor’s degree accepted in lieu of one (1) year of experience.
Medical terminology coursework helpful.
2 years of experience in patient registration, scheduling or related medical field using computers required.
Solid understanding of medical terminology is essential to success in this role.
Required licensure, certification or registry:
CHAA (Certified Healthcare Access Associate) certification required. May obtain with 6 months of hire.