Tri-City Medical Center

  • AUTHORIZATION CLERK

    Posted Date 3 weeks ago(4/4/2018 2:12 PM)
    ID
    2018-6677
    FTE Status
    Full-Time 1.0
    Shift
    Day
    Cost Center/Dept
    7092 - Primary Care Physician Clinic Radiance
    Work Schedule
    Monday - Friday 8:00 - 5:00 pm
  • Overview

    Position Summary:

    The Authorization Clerk maintains the highest standards of customer service excellence. Responsible for a variety of duties including: registration, scheduling, exam order entry, record integrity, obtaining insurance authorization and referrals.

     

    Major Position Responsibilities:

    • Responsible for verifying insurance coverage, eligibility, benefits, obtaining authorizations and pre-certs as required by the individual insurance company.
    • Obtains prior authorization for medication not on patients insurance formulary as requested by MD or MA, completes prior authorization transaction and notifies requesting MD or MA of any issues.
    • Processes all information required to complete referrals prioritizing by level of urgency and patient need.
    • Accurately enter notes regarding letters or correspondence from insurance companies regarding insurance authorization or other notifications.
    • Adheres to all medical practice policies and procedures.
    • Inform patients of referral status.
    • Answers telephone inquiries on status of referral.
    • Performs other duties as necessary.

    Safety and Infection Control Responsibilities

    • Responsible to maintain a safe and clean work environment, including unit based specific safety and infection control requirements.

    Qualifications: ESSENTIAL COMPETENCIES, KNOWLEDGE, & EXPERIENCE

    • Minimum 3-5 years Authorization Clerk experience in a hospital or medical office, required.
    • Ability to effectively present information in one-on-one and small group situations to patients, clients, and other employees of the organization.
    • Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
    • Must be able to interact and communicate with all levels of staff, physicians, patients and families in an effective manner.
    • Demonstrated knowledge of computer technology, including word processing, spreadsheet, and database.
    • Ability to work under stress and deal effectively and courteously with difficult people.
    • Ability to relate and work with people of all authority levels, ages, social and ethnic backgrounds.
    • Knowledge of medical procedure, as they apply to insurance authorizations.

    Education:

    • High School diploma or GED required.

    Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed