Prior Authorization Staff at Southwestern Vermont Health Care – Bennington , Vermont

The Prior Authorization Staff is responsible for filing requests for prior authorization for all insurances that require based upon plan or insurance contract. Request, obtain, and document (within current software) all prior authorizations (or denials of same) appropriately and in a timely manner. Ensures all necessary authorizations are obtained prior to scheduling of services. Verifies insurance coverage to ascertain deductible and co-insurance amounts. Notifies patients of expected financial responsibility that will be due at the time of service. Schedules pre-authorized services. Coordinates with referring physician offices when necessary to pre-authorize services. Coordinates with billing office to evaluate and resolve reimbursement issues.

Requirements: High School Diploma or equivalent required. Must have the ability to learn and operate a variety of software programs. Professional telephone skills and the ability to work independently in a fast-paced, multi-tasking medical billing environment is required. Also must have the ability to effectively and independently communicate with patients in a courteous, professional, thorough and timely manner. One to two years medical billing experience is preferred.

Benefits available for part-time and full-time employees include:

• Health, Dental, and Vision Insurance
• Life Insurance
• Paid time off
• Tuition Assistance
• 403B Retirement Savings Program
• On-site day care
• Employee Discounts