Insurance Authorization Specialist
The primary purpose of this position is to ensure that appropriate authorization and reimbursement resources are in place for elective services provided. This includes the following: verification of order received from physician and verification of insurance information provided, accurate and timely determination of authorizations required; validate that required authorizations are obtained and monitored for appropriateness of the procedure. Adherence to government and non-government program requirements; effectively communicating with Scheduling and Patient Access the authorization/program requirements for their elective procedure, personal payment liabilities if known, and options for care and placement that allow for informed decisions by the patient and his/her family while protecting the financial interest of Seton Medical Center. Provides information to Scheduling and Patient Access when a...