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Salem Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.
Reporting to the PAS Manager, the Authorization/Pre-Certification Specialist (APS) ensures that patients demographics and financial information is complete in the hospital’s registration system by working directly with the patient, physician’s office, Central Billing Office and third party payers. The APS determines eligibility and obtains insurance authorizations and pre-certifications from third party payers for all types of admissions/procedures (i.e. day surgery, inpatient and observation). The APS assures compliance with payer regulations in order to generate revenue from various state, federal, and private insurance programs. The APS also acts as a liaison among patients, physician offices, case management, and third party payers ensuring that all third party payers’ requirements are met. The department goal is to maximize reimbursement while serving the needs of our internal and external customers.
High School Diploma or GED equivalent.
Ability to read, write and speak English.
Ability to learn payer and department policies and regulations and be able to incorporate them into the daily activities.
Excellent oral and written communication skills.
Excellent organizational and prioritizing skills with the ability to multitask
Ability to problem solve, work under pressure and under very tight deadlines
Energetic team player with positive attitude
Adequate typing skills (40WPM) and familiarity with computers ( Microsoft Outlook, Word, Excel, internet)
EEO StatementSalem Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Mass General Brigham is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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