[Hiring] Prior Authorization Specialist I @BMC Software

Role Description

The Prior Authorization Specialist role belongs to the Revenue Cycle Patient Access team and is responsible for coordinating all financial clearance activities by navigating all pre-registration, obtaining referral authorization, or precertification number(s). The role ensures timely access to care while maximizing BMC hospital reimbursement. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit’s performance expectations. This position reports to the Patient Access Supervisor and requires interaction and collaboration with important stakeholders in the financial clearance process.

This is a Remote Position.

Position: Prior Authorization Specialist I - Patient Access Services 830A-5P

Department: Insurance Verification

Schedule: Full Time

Qualifications

• High school diploma or GED required.
• Associate’s Degree or higher preferred.

Requirements

• 4-5 years of office experience, specifically in either a high volume data entry office, customer service call center or health care office or hospital administration is required.
• Experience using Insurance payer websites (i.e Blue Cross Blue Shield, Medicare, etc.).
• Customer service experience preferred.
• Experience with insurance verification, prior authorization, pre-certification and financial clearance process.

Benefits

• Compensation Range: $25.42- $30.97.
• Generous total compensation that includes benefits (medical, dental, vision, pharmacy).
• Contract increases.
• Flexible Spending Accounts.
• 403(b) savings matches.
• Earned time cash out.
• Paid time off.
• Career advancement opportunities.
• Resources to support employee and family wellbeing.