Prior Authorization Specialist

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Verisma

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

🏥 Healthcare

☁️ SaaS

📋 Compliance

Healthcare • SaaS • Compliance

Verisma is a healthcare technology company that provides cloud-based software and services to help healthcare organizations securely manage, exchange, and release clinical and administrative health information. Its solutions are focused on automating records workflows, ensuring regulatory compliance, and enabling secure data exchange between providers and partners.

📋 Description

• Process assigned Care Coordination Services / Health Information Management tasks accurately, efficiently, and in compliance with client protocols • Evaluate medical documents and electronically file them into patient charts • Navigate client EHR software and internal systems • Manage high volumes of work while maintaining quality and accuracy • Perform data entry and typing • Cross-train in multiple EHRs to provide team coverage • Follow predefined filing processes and seek guidance when needed • Apply assigned client protocols and Service Level Agreements • Track completed work, time, and transaction counts • Meet client Planning Guidelines or Target Transactions per Hour • Complete work assigned by management • Report variances, issues delaying completion, and corrective actions to management • Study and reference internal documentation and protocols • Maintain confidentiality and report HIPAA violations • Provide customer service to customers, vendors, visitors, coworkers, and management • Attend required meetings and training • Perform other duties to support department and company operations

🎯 Requirements

• High School Diploma or equivalent required • Experience with health information management concepts, EHRs and/or medical terminology is a plus • Proficient in managing a high-volume, fast-paced environment with accuracy • Intermediate computer skills, including Microsoft Office Suite and the ability to adapt to company-specific software • Capable of efficiently navigating multiple open programs, windows and applications • Strong attention to detail and accuracy • Must be able to perform physical tasks such as sitting, talking, hearing, using hands, reaching, standing, walking, driving, and occasionally lifting up to 25 lbs • Occasional after-hours or weekend work may be required • Ability to fulfill responsibilities in a remote capacity while ensuring access to strong/reliable internet within a designated, secure and private workspace • Must follow HIPAA guidelines and procedures • Must comply with company/client agreed compliance standards • Must protect sensitive data

🏖️ Benefits

• This position may be onsite, hybrid and/or remote allowing you to work from your own home office environment • Occasional after-hours or weekend work may be required