Cabinet Peaks Medical Center is seeking a team-oriented Prior Authorization Specialist to work in the Business Office and report to the Director of Revenue Cycle.
This role is responsible for obtaining prior authorizations and pre-certifications for procedures and medications, coordinating scheduling and rescheduling with outpatient departments and patients, and maintaining accurate authorization records in the EMR.
The position supports insurance verification, patient communication, and authorization-related appeal efforts while following HIPAA and organizational policies.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent
- Previous experience in a medical setting preferred
Skills and abilities
- Strong verbal and written communication skills
- Professional customer service skills and courteous demeanor
- Knowledge of insurance processes
- Ability to follow directions and hospital policies
- Good judgment, tact, diplomacy, and problem-solving ability
- Strong organizational skills and the ability to write and interpret notes
- Strong typing skills
- Basic knowledge of office equipment such as phones, faxes, and copy machines
- Knowledge of medical terminology and general medical procedures
- Understanding of HIPAA regulations
Benefits & Perks
Benefits package
- Medical insurance
- Dental insurance
- Vision insurance
- Long-term disability (LTD) insurance
- Life and accidental death and dismemberment (AD&D) insurance
- 403(b) retirement plan with employer match
Additional notes
- Full-time benefits package available
- Employment may require a substance test and other pre-employment items
Location
Montana, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 week ago
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