Medical Authorization Specialist CSR
3 weeks ago
documentation, contacting the referring provider office for additional information and completion of
the required prior authorization form in order to proceed with the request.
Pay: $18hr
Schedule - Monday to Friday - 8am - 5pm
For immediate consideration submit your resume to: bchairez@medicatg.com
Job Summary:The Patient Care Representative will work closely with the clinical staff, claims and billing departments. Must display excellent communication, organization and follow-up skills with the ability to handle multiple assignments simultaneously. In addition, demonstrates good judgement as well as attention to detail.
Responsibilities:
• 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.
INDMED
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