Medical Authorization Assistant- OC PACE

4 weeks ago


Anaheim, United States North American Staffing Group Full time
Job DescriptionJob Description

Medica Talent Group is excited to share this opportunity with you Our client, a well-known and reputable Healthcare Organization is seeking a Medical Authorization Assistant to join their team in Anaheim, CA

Position: Medical Authorization Assistant

Schedule:
• 40 hours a week
• Monday to Friday 8AM – 5PM (Full – time)

Assignment Length: Possibility of direct hire based on performance and need


Location: Anaheim, CA 90033


PAY RATE: $18 / HR


Job Description:
Duties include, but are not limited to:

  • Obtain prior authorization information in accordance with established guidelines.
  • Must work well independently and in a team environment.
  • Verify prior authorizations and/or pre-service requirements are met.
  • Timely completion for all prior and retro authorization requests.
  • Proactively manages and maintains all authorization requests to ensure billing of clean claims.
  • Provide outstanding customer service to participants and develop and maintain positive working relationships with internal and other external customers.
  • Identify and report trends and prior authorization issues relating to billing and reimbursement.
  • Document all account activity and correspond to inquires in a timely manner.
  • Reviews accounts on a daily basis while meeting or exceeding all daily, weekly and monthly production goals.
  • Responsible for documenting authorization status and demonstrating proficiencies with software systems and electronic health records.
  • Identifies prior authorization trends and/or issues resulting in delayed processing.
  • Communicates and works effectively with colleagues from other departments.
  • Follows written and verbal communications.
  • Follows all health and safety policies and procedures.
  • Performs other related duties as required or assigned.
  • Confirm new patients and return appointments in computer system in accordance with physician and/or office guidelines.
  • Appropriately schedule all specialty appointments
  • Coordinate transportation and interpretation services for all specialty appointments as needed.
  • Follows policies and procedures to contribute to the efficiency of the office.
  • Prepares correspondence, memos, forms and other typing as requested by supervisor.

Knowledge, Skills, and Abilities

Computer Skills

  • Knowledge of basic computer skills such as Microsoft Office Suite (Outlook, Word, Excel, PowerPoint, etc.)
  • Must be a quick learner on various software platforms.

Language Skills

  • Ability to effectively present information and respond to questions from management, participants, auditors and coworkers.

Essential Functions

  • Track and schedule patient referrals
  • Process authorizations

Required Experience:
• EMR experience a plus
• Health insurance experience and general knowledge preferred.


INDNAS

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