Medical Authorization Specialist CSR

3 weeks ago


Anaheim, United States North American Staffing Group Full time
Job DescriptionJob DescriptionCSR Medical Authorization SpecialistMedica Talent Group is seeking a Patient Care Representative to join our client's team ThePatient Care Representative is responsible for all aspects of the authorization process. Responsibilities include collecting all necessary
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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