Shift: Day
Working Hours: 8-12
Summary:
The Prior Authorization Representative’s primary job function is coordinating transition services with internal and external partners to ensure the accuracy and completeness of all required documentation is of the highest quality while providing exceptional customer service. The employee will promptly, efficiently and accurately execute all aspects of back office duties including the prior authorization and referral process in accordance with regulatory requirements in a timely manner and keep patient and provider informed when there are delays or denials from insurance or by provider referred to communicate all resolutions if appropriate. Excellent communication and legible writing skills are required to ensure data entry accuracy. This position is responsible for building strong, positive relationships with patients and other health care facilities. This position requires processing and completing an average of 15-30 prior authorizations and referrals daily.
Other information:
Must have a High School diploma or equivalent. Knowledge of medical terminology/procedures and human anatomy preferred. Must have strong organizational and multi-tasking skills. Must be able to work well with others or alone, under minimal supervision, and meet strict deadlines.
This job will be authorized 40.00 hours bi-weekly.