Authorization Coordinator
12 hours ago
Clinical Authorization Associate
**Job Summary**
We are seeking a skilled Clinical Authorization Associate to join our team at MaineHealth. As a key member of our clinical operations team, you will play a critical role in ensuring seamless patient care by facilitating the pre-authorization process for surgical procedures, radiology, durable medical equipment, and prescriptions.
**Key Responsibilities**
* Collaborate with patients, providers, and insurance companies to obtain necessary pre-authorization approvals in a timely manner
* Document and communicate information obtained from insurance companies, adhering to established protocols and workflows in our electronic medical record (EMR) system
* Ensure all pre-authorization requests are processed efficiently to maintain continuity of patient care
* Assist with referral processing and other duties as assigned to support billing and clinical departments
**Requirements**
* High school diploma or equivalent required
* Medical Assistant, PSR, or medical billing experience necessary
* In-depth knowledge of referral and pre-certification processes for various insurance companies preferred
* Strong understanding of medical terminology and ability to read, write, and analyze required documentation
* Excellent interpersonal and communication skills, with the ability to work effectively with patients, coworkers, and external providers
**What We Offer**
* Opportunity to work in a dynamic and patient-centered environment
* Collaborative team atmosphere with a focus on quality patient care
* Professional growth and development opportunities
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