Authorizations
- Job Title
- Authorizations
- Job ID
- 27693001
- Location
- Los Alamitos, CA 90720
- Other Location
- Description
-
JOB SUMMARY: Enters insurance authorization and eligibility information
EDUCATIONAL REQUIREMENTS:
• High school diploma required
• College education or trade school preferred
QUALIFICATIONS AND SKILLS:
• Experience working in a physician group practice preferred.
• Proficiency in computer automation, with emphasis on email/internet applications.
• Knowledge of practice management and word processing software
• Ability to multitask and perform in high stress/fast-paced work environment.
• Maintain neat, professional appearance and possess a positive disposition.
• Strong written and verbal communication skills.
• Basic to intermediate knowledge of medical terminology preferred
Essential responsibilities include, but are not limited to:- Verifies insurance eligibility an authorization
- Enters insurance authorization and eligibility information
- Performs re-authorization and eligibility checks in a timely manner
- Communicates and documents information regarding change in authorization and eligibility
- Monitors and ensures all client authorization of services are current and quantity and type of services provided meet payer requirements
- Reviews and ensures appropriate processing of authorizations
- Maintains confidentiality of all information pertaining to clients, families and employees
- Demonstrates self-direction to prioritize and accomplish job responsibilities
Other Duties
• Responds to written and telephone inquiries from patient and carriers regarding appointments.
• Distributes messages to the clinical staff when needed (prescription calls, testing, any clinical related questions)
• Schedules surgeries when needed to help out department.
• Contacts insurance carriers to verify eligibility and obtain authorization for surgeries when needed.
• Covers for PBX operator when needed.
• Maintains communication among the physician, patient, and insurance carriers when needed.
• Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice.
• Maintains detailed knowledge of practice management and other computer software as it relates to job functions.
• Attends continuing education courses as requested.
• Attends all regular staff meetings.
• Completes all other duties as assigned by the Manager or Team Leader/Supervisor.
Supervisory Responsibilities
This job has no supervisory responsibilities.
Typical Physical Demands
• Work may require sitting for long periods of time, and also stooping, bending and stretching for files and supplies.
• Employee will occasionally be asked to lift files or paper weighing up to 30 pounds.
• Position requires manual dexterity sufficient to operate a keyboard, operate a computer, telephone, calculator, copier, and such other office equipment as necessary.
• Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts.
• Position also requires viewing computer screens and typing for long periods of time, and working in an environment which can be very stressful.
Typical Working Conditions
• Work involves frequent contact with patients over the telephone and sometimes in person.
• Work may be stressful at times.
• Employee must be comfortable asking patients for money.
• Interaction with others is constant and interruptive.
- Pay Range
- $17.00 Hourly to $22.00 Hourly