Pre-Authorization Specialist + Full Time + Exeter, NH 03833 (https://maps.google.com/maps?q=Exeter%2C%20NH%20%2003833&zoom=14&size=512x512&maptype=roadmap&sensor=false) + Posted 3 days ago **Core Physicians LLC** Req#14206 **Req#:** 14206 **Full Time,Day Shift** Monday-Friday 8:30-5:00 Exeter Hospital and Core Physicians, part of Beth Israel Lahey Health, proudly serve the beautiful NH seacoast region. Our principal mission is to work together to create healthier communities. What makes us unique is the spirit of our staff who are team-oriented and focused on providing outstanding patient care experience and quality outcomes for those we are privileged to serve. In addition, we want to ensure that our employees feel well cared for by offering a comprehensive benefits package, ongoing training and growth opportunities, wellness resources, special perks, and more. Core Physicians has been recognized for Patient-Centered Model of Care. We are proud of the strong commitment Core places on delivering high-quality, comprehensive and accessible care to all patients. Obtains pre-authorization as needed for testing and other services and scheduling of such testing and services with facilities and patients. **Requirements:** + High school graduate or equivalent + Previous medical office experience + Previous experience with pre-authorization process is preferred **Major Responsibilities:** 1. Pre-authorization of diagnostic testing; medications; surgical and office procedures; through contact with insurance companies. 2. Responsible for scheduling the above-named procedures. 3. Documenting all information on appointments including date; time; authorization; and reporting this information back to the practices. 4. Will need to extract information from both EPM and EMR to provide for clinical review with insurance companies. 5. Understand and use EMR templates for Diagnostic imaging; labs; and master IMs. 6. Responsible for reporting back to practices if services are denied. 7. Knowledge of clinical information needed to schedule procedures and obtain additional information from patient if necessary. 8. Maintain documentation on status of authorizations in process. 9. Other duties as assigned. Equal Opportunity Employer/Veterans/Disabled