Pre Authorization Analyst
Posted on Apr 9, 2019 by Public Consulting Group
Take ownership of project deliverables where assigned as it applies to A&E Participates actively in internal and external client meetings as it applies to A&E Use data analysis skills to research and identify solutions on A&E matters Ensure Authorizations are handled in a manner consistent with overall company and client protocol Ensure Eligibility files are handled in a manner consistent with overall company and client protocol Ensure Enrollment files are handled in a manner consistent with overall company and client protocol Obtain approved authorization of services to be paid as required by program rules from designated State Clients according to payer requirements. Update reporting tool/track via reporting tools. Ensure authorization requests are completed in a timely fashion to meet contractual requirements and all reviews are conducted using nationally recognized and evidence-based standards. Assist with maintenance and integrity of the authorization files to ensure they are accurate, comprehensive, and clear. Serve as the subject matter expert liaison for authorizations and/or leader on cross-functional teams.
Motivated self-starter possessing intellectual curiosity and desire for process-improvement Ability to think critically about issues, to find solutions in limited time frames required Exceptional analytical and data analysis skills with strong attention to detail required Solid organizational and time management skills Exceptional Excel skills (pivot tables, filtering, Lookup functions, If Statements) required Strong \"team player\" that can work in a fast-paced project environment High attention to detail and strong team attitude. Strong critical thinking and problem-solving skills. Education: Bachelor s degree in a relevant field, or commensurate work experience. Experience: 1-3 years of experience with financial analysis or data analysis; project coordination experience preferred #D-PCG #LI-KG2
Associated topics: business finance, business intelligence, consult, financial analyst, forecasting, government, inspect, investment analyst, investment banking, refinement