Eligibility and Prior Authorization Specialist-Temp

Position Summary:

Eligibility and Prior Authorization Specialist will be responsible for building and maintaining collaborative and productive relationships with internal and external stakeholders relating to eligibility and prior authorization, driving performance in operations related to reimbursement and providing direction and oversight of processes impacting cash collections.

 PRIMARY RESPONSIBILITIES:

 Serves as a source of knowledge for the designated revenue cycle function. 

 Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement for the designated revenue cycle function.

 Establishes an ongoing working relationship with other departments impacting revenue cycle performance.

 Works closely with various vendor operations teams (Prior authorization, Claims and Appeals) to oversee operations activity that directly impacts the revenue cycle to accurately process actions in a timely manner for optimal

reimbursement.

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