The Prior Authorization Specialist plays a critical role in supporting high-quality patient care by ensuring timely insurance verification and authorization for scheduled services. This position serves as a key liaison between patients, physicians, insurance carriers, and hospital departments to facilitate accurate and efficient authorization processes. The ideal candidate possesses strong analytical and organizational skills, a thorough understanding of insurance guidelines and managed care requirements, and a commitment to delivering exceptional customer service. Success in this role requires attention to detail, effective communication, and the ability to manage multiple priorities in a fast-paced healthcare environment while contributing to a positive patient experience.
QualificationsKNOWLEDGE/EXPERIENCE:
- Sufficient experience to demonstrate ability to accept responsibility as a Hospital and Clinic prior authorization representative.
- Knowledge of anatomy and physiology, medical terminology and disease processes.
- Proficient keyboard skills and working knowledge of computer required.
- Good verbal and written communication skills.
- Cognitive, organizational and emotional abilities to deal effectively with multiple stressors, deadlines and customer needs.
EDUCATION: High school Diploma, HiSET or GED equivalent required. Completes Patient Financial Services I and training within first 5 months.
Skills Required
- Experience functioning as a hospital or clinic prior authorization representative
- Knowledge of anatomy, physiology, medical terminology, and disease processes
- Proficient keyboard skills and working knowledge of computers
- Good verbal and written communication skills
- Cognitive, organizational, and emotional ability to manage multiple stressors, deadlines, and customer needs
- High school diploma, HiSET, or GED equivalent
- Complete Patient Financial Services I and required training within first 5 months
What We Do
SPH Media is a leading media group, with operations in the publishing of newspapers, magazines, and books in both print and digital editions. It also owns and operates other businesses such as radio stations and outdoor media. The mission of SPH Media is to be the trusted source of news on Singapore and Asia, to represent the communities that make up Singapore, and to connect them to the world. The businesses are held by SPH Media Trust, a public company limited by guarantee.
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