Authorization Specialist- MMF Family Medicine PV
marshall medical centerPlacerville, CA
Authorization Specialist- MMF Family Medicine PV
L5
marshall medical centerPlacerville, CA3 days ago
Occupations
Medical Records SpecialistsMedical Secretaries and Administrative AssistantsPatient RepresentativesIndustries
Offices of Physicians (except Mental Health Specialists)All Other Miscellaneous Ambulatory Health Care ServicesAll Other Outpatient Care CentersJob Title Authorization Specialist
Job Description:
POSITION SUMMARYThe Authorization Specialist is an integral member of the healthcare team and is responsible for obtaining pre-certifications and pre-authorizations for procedures, durable medical equipment and medications including any other authorizations as needed per clinic. Works with internal physician office staff, patients, providers and clinical staff to facilitate a fast and efficient authorizations process. Consistently facilitates effective communication between our patients, families, insurance companies, providers and members of the patient care support staff and participates in quality performance improvement activities to support a positive patient focused customer service experience.
Position Qualifications
Education/Licensure/Certification:
High School Diploma or GED required
Knowledge:
- A minimum of two years' customer service experience preferred, preferably within a healthcare environment preferred
- Experience working with patients and providers, using EPIC (electronic health record)
- At least one year of experience with insurance/medication authorizations preferred
Skills:
- Requires exceptional communication and customer service skills, strong organizational skills, ability to prioritize and manage a great number of details and multi-task with strong follow through are mandatory.
- Ability to take initiative, learn quickly and actively, participate as part of an administrative team also required.
- Computer proficiency with MS Office Suite, including Word and excel, and Google applications, as well as an ability to learn new programs with ease
- Must have the ability to establish and maintain effective working relationships with all levels of staff, volunteers, and the general public.
- Must possess excellent interpersonal skills and be comfortable with people in all stages of health and healing.
- Must adhere to HIPAA regulations and maintain clinic, provider, RN and patient confidentially
- Comfortable with regularly verifying and processing insurance eligibility and obtaining authorization requests, including verifying personal credentials with external partners to obtain this information (e.g., ID.me for identity verification for VA insurance coordination).
Apply now
Level
SeniorL5
Location
Placerville, CA
Occupation
Medical Records Specialists
Industry
Offices of Physicians (except Mental Health Specialists)
Posted
3 days ago
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