Trumbull, CT, 06611, USA
13 hours ago
Prior Authorization Specialist - Cardiology
Work where *every moment *matters. Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. Hartford HealthCare Medical Group is one of the largest medical practices in New England with multiple locations throughout Connecticut and Rhode Island. We consist of a team of professionals ranging from Medical Assistants to Physician Assistants and everything in between. Our physician led medical group enjoys an excellent reputation with patients and the medical community, offering primary care, urgent care and more than 30 different specialties. *_Job Description_* Under the direction of the Manager, Prior Authorization Services, HHC Cancer Institute, performs all clerical duties required to obtain insurance prior authorizations for chemotherapy and other services in a timely manner. Responsible for maintaining and managing resources, including insurance portal access, and provides consistent documentation in EPIC to support the obtained insurance authorization. Communicates changes in payer and or federal regulatory guidelines to their manager, pharmacy staff, providers and other clinical departments, as applicable. * Monitors and reviews the prior authorization work queue daily to verify accuracy of patient’s insurance information and to interpret insurance pre-authorization requirements for scheduled chemotherapy treatments. * Contacts insurance companies to obtain prior authorization via telephone and/or portals and provides necessary clinical documentation to ensure authorization is obtained prior to the scheduled chemotherapy treatment. * High School Graduate/Diploma * Minimum one year experience working with insurances and prior authorizations, preferred We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is *your moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** *Prior Authorization Specialist - Cardiology * **Location:** *Connecticut-Trumbull-115 Technology Dr Trumbull (10432)* **Requisition ID:** *24166983*
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