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Medical Authorization Specialist

•Gastroenterology

PACT MSO, LLC

•3.3 Hamden, CT Job Details $23

•$28 an hour 5 hours ago Benefits Health insurance Paid time off Qualifications Overseeing health insurance pre-certification Electronic health records (EHR) management Medical insurance coverage verification 5 years Computer literacy Patient demographics Patient advocacy Microsoft Office Medical scheduling High school diploma or GED Healthcare referral management Clinical data entry Medical record retrieval Health insurance referral requirements Patient registration Senior level Managing patient records

Full Job Description Pay Range :

$23.00

•$28.00 an hour. By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company. COVID-19 and Flu Vaccine Considerations Masks are optional for employees, visitors, patients, vendors, etc. All employees are strongly encouraged and recommended to obtain the

COVID-19

vaccination routinely. Proof of annual flu vaccination is required for all employees.

PACT MSO

is a Management Service Organization that supports numerous physician groups. We offer health benefits, paid time off, and a friendly working environment. We are a medium sized company with a family atmosphere.

PACT MSO

has a busy Gastroenterology office that is seeking a Medical Authorization Specialist. Medical Authorization Specialist work Monday through Friday and the position will be in Hamden. The hours range between 8:00am to 4:30pm for 8 hour shifts. The position obtains and assures that all pre-authorizations are completed effectively, accurately, and efficiently. Essential Functions Obtain authorizations or referrals Contact insurance companies, labs, etc. get proper authorization Analyzes information required to complete pre-authorizations with insurance carriers and service area contacts. Accurate and pertinent clinical data and demographics is compiled and communicated to the patient's insurance company in a timely and organized fashion. Communicate information appropriately, accurately, and timely Enters necessary authorizations into applicable database. Retrieves medical records and critical information from referring provider(s) prior to patient procedures; ensures that all necessary laboratory, imaging test results, and medical records are obtained if needed. Collaborates with other staff members to ensure appropriate insurance information is obtained. Inform patients of their referral/authorization responsibilities. Advocates for patients by helping them navigate through the system. Develops tools to assess patient referral processes with respect to efficiency and customer service. Patient demographic and additional identifying Enter patient information in EHR Obtain pre-op clearances from provider offices Cover front desk as needed Prepare estimates for patient procedures Schedule office visits Skills and Knowledge Intermediate computer skills including MS Office Understands authorization process and procedures Demonstrates knowledge of EHR Attention to detail Collaboration skills Communicates proficiency Education and Experience High School Diploma or equivalent 5+ years of experience obtaining authorizations Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.