Job Information
St. Peters Health Lead Prior Authorization Specialist III - CBO Prior Auth in Helena, Montana
The Lead Prior Authorization Specialist position leads, organizes, and oversees the Prior Authorization Specialist teams whose primary function is to provide premier customer service to the patient, physician and office staff by obtaining facility authorizations for patients scheduled at SPH. The Lead and team are required to verify insurance coverage and obtain insurance authorizations. The Lead and team is required to maintain a working knowledge of all Managed Care Contracts as well as insurance requirements and policies for authorizations, notifications and/or referrals. The Lead ensures the team utilizes the system functionality as well as office equipment such as a scanner, credit card terminals and fax machine. The Lead will also ensure the team is in communication with outside physician offices and ancillary departments within the hospital to complete an accurate patient record.