This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Do you want to join an organization that invests in you as a Inpatient Authorization Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
Job Summary and Qualifications
The Inpatient Authorization Specialist will Provide clerical support to the Utilization Review Services staff as related to authorization procurement and concurrent denial mitigation.
What you will do in this role:
- Document payor communications in Midas related to authorizations and concurrent denials
- Identify accounts requiring follow up by reviewing reports, such as Tableau accounts requiring follow up and Midas Discharge report- auth / cert follow up
- Fax clinical information as instructed via nH Discharge
- Monitor payor letters received via payor letter retention / Right Fax process following HCA guidelines
- Provide payors with discharge date or discharge summary, as needed
- Answer and record inbound calls from payors, tagging calls with account number using UCCE Call Recording system
- Manage Midas Send Payor Non-response and no authorization documented worklist rules and document appropriately
- Demonstrate knowledge and effective use of multiple applications, systems and resources example, but not limited to: Call Recording, WebEx Teams, Electronic Health Records, Payor portals, Right Fax, Share Point sites and OnBase
- Support Central UR nurses in a clerical function as needed or requested
What qualifications you will need:
- Associates degree preferred.
- Greater than 2 years’ work experience in the healthcare setting required.
Benefits
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Inpatient Authorization Specialist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
