Medical Authorization Advocate

1 week ago


Omaha, Nebraska, United States Think Aksarben Full time
Job Title: Medical Authorization Advocate

We are seeking a highly skilled and detail-oriented Medical Authorization Advocate to join our team at Think Aksarben. This role plays a vital part in ensuring seamless patient care by coordinating pre-authorization for medical services.

About the Role:
  • Estimated Salary: $45,000 - $60,000 per year
  • This is a full-time position that requires a High School diploma or equivalent and a minimum of two years of experience in pre-authorization and/or medical insurance
  • The successful candidate will have excellent communication skills, both verbal and written, and be able to manage multiple priorities while maintaining confidentiality
Responsibilities:

The Medical Authorization Advocate will be responsible for:

  • Contacting insurance carriers to verify patients' insurance eligibility, benefits, and requirements
  • Requesting, tracking, and obtaining pre-authorization from insurance carriers for medical and pharmaceutical services
  • Collaborating with medical and pharmacy staff to obtain additional clinical documentation and communicate with insurance carriers
  • Documenting all communication and prior authorization information in standardized documentation requirements and saving it in the Electronic Health Record (EHR) system
  • Communicating approval or denial of procedures/infusions to patients and the provider team
  • Responding to telephone calls, emails, and internal messages in a timely manner to ensure patients' needs are met
Requirements:

To be successful in this role, you will need:

  • A high level of proficiency in using computer software, including EHR systems, scheduling software, Microsoft Office, and Outlook
  • The ability to work in a fast-paced environment and prioritize tasks effectively
  • Excellent problem-solving skills and the ability to think critically
  • Strong attention to detail and organizational skills
  • Ability to maintain confidentiality and handle sensitive information with discretion
Work Environment:

This role operates in a healthcare setting, and the ideal candidate will be able to:

  • Stand for 5% or longer of the workday
  • Walk for 10% or longer of the workday
  • Sit for 85% or longer of the workday
  • Bend, squat, kneel, and reach above shoulder level occasionally
  • Use their hands for simple grasping, fine manipulation, and computer use repetitively
  • Utilize their senses corrected to near-normal range


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