UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh ! In this position, you will work Monday-Friday, daylight hours .
You will assist with reviewing and interpreting medical record documentation for patient history and diagnosis, submitting and obtaining authorization, scheduling testing and imaging for patients, and other office duties including scanning and faxing. You will also be responsible for a uthorizations for medications to assist our outpatient and infusion RNs at our Shadyside practice and procedural authorizations for incoming physician Dr. Richie Sun. During downtime we are seeking someone who is capable and willing to be cross trained to assist with an d to cover Medical Assistant/other positions, as needed with MA, front desk, and scheduling duties.
Purpose:
To perform authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through actions, a consistent performance standard of excellence to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization related activities including pre-authorizations, notifications, edits, denials, etc. The Authorization Specialist shall demonstrate the philosophy and core values of UPMC in the performance of duties.
Responsibilities:
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