University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to assist the Department of Pediatric Cardiology located at UPMC Children's Hospital of Pittsburgh. This position will work Monday-Friday 8:00 am to 4:30 pm.

Purpose:
To perform authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through actions, a consistent performance standard of excellence to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization related activities including pre-authorizations, notifications, edits, denials, etc.The Authorization Specialist shall demonstrate the philosophy and core values of UPMC in the performance of duties.

Responsibilities:

+ Prior authorization responsibilities1. Reviews and interprets medical record documentation for patient history, diagnosis, and previo...