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Summary:

This position is responsible for obtaining prior authorizations for surgical procedures and ensuring accurate verification of patient benefits and eligibility.

Position Responsibilities:

• Obtain prior authorizations of surgical procedures.

• Verify benefits and eligibility on payer portals and via telephone.

• Upload clinical documents, enters data into multiple data bases, and runs reports as required.

• Alert facilitator of current or potential problems and assists in resolution.

• Appeal denied cases.

• Schedule peer to peers with Physician Providers.

Position Qualifications Required / Experience Required:

Previous medical clerical experience. Experience with prior authorizations strongly preferred.

Understanding of medical terminology.

Computer user proficiency (data entry).

Clear communication skills.

Professional phone demeanor.

Required Education:

High School Diploma or equivalent required.

Hourly Rate: $18.89 - $27.81 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.

Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

For more benefits information click here.