Prior Authorization Specialist -PWHC

We are looking for a highly motivated individua to join our growing team at Pocatello Women's Health Center! You must be willing and able to learn new skills and adapt to change often, as the medical field is ever changing. You must have good communication skills and be detail oriented.

JOB REQUIREMENTS

Minimum Education:

High School Diploma.

Post-Secondary Degree Preferred Required Skills, Knowledge and Abilities:

Ability to read and write English. To provide physician s offices with obtaining prior authorizations, retro-authorizations and facilitate an appeal on a denial to ensure it is done accurately and timely.

BASIC PURPOSE OF THE JOB

Provides physician s office assistance with obtaining accurate and timely pre-authorizations for all physician services. Is responsible for ensuring a retro-authorizations or appeal process is initiated when necessary.

ESSENTIAL FUNCTIONS

Greeting all patients in a courteous and a professional manner. Communicating effectively with Providers, Back office staff, patients and insurance agencies. Collect required information for prior authorizations and document accurately in the patients chart using prior authorizations templates where applicable. Maintain all daily and tracking logs. Submit weekly (or assigned by manager). Tracking all pre-authorizations initiated, their outcomes, and communications on daily logs. Notify provider s office, patient financial, and patient of prior-authorization status as necessary. Any other tasks as assigned by manager (check in prior to leaving for other tasks). Hours worked to be determined by manager.