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McDonough District Hospital

PRIOR AUTHORIZATION ASSISTANT

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Job Description

Expected pay for this position is $17.55-$23.69. Actual pay will be determined by experience, skills and internal equity.
MDH Benefits package includes:
Medical, Dental, Vision 457B and employer match for FT Employees Company paid STD and LTD Job Summary Primary function is coordination, processing and scheduling of medical referrals and prior authorizations for a variety of medical services and procedures for MDH Medical Group clinic patients. This requires clinical knowledge and understanding of CPT and ICD codes to meet the requirements of third-party payers and to ensure minimal delay in securing referral appointments or authorizations for multiple patients in multiple locations. Collaborate with patients, providers and support staff. This position requires the use of clinical and administrative judgment and initiative to determine best approach for both urgent and non-urgent patient care needs. Job Specifications
EDUCATION AND EXPERIENCE
High School graduate or equivalent is required. Previous experience in coding or previous medical office experience is preferred.
JOB KNOWLEDGE
Has knowledge of
CPT/ICD-10
codes, medical terminology, and insurance authorization and referral processes. Broad-based knowledge of office processes and key roles within a medical practice office. Knowledge of third-party payer guidelines. Understanding of clinical operations and procedures and proficiency with computers and knowledge of software applications. The patient population must be considered when assessing job knowledge required from the employee.
ABILITIES, INTERESTS AND TEMPERAMENTS
Sound interpersonal skills. Express thoughts in clear and concise terms, both verbal and written. Proficient in the use of computers, navigating software, and use of telecommunication devices. Comfortable with learning software applications. Capable of setting priorities in all situations. Reacts calmly and effectively in difficult situations. Remains self-motivated and continually interested in self-improvement. Capable of using tact, courtesy and diplomacy in all interactions. Must have the ability to work with a variety of people of diverse populations (e.g., cultural diversity, employee workforce, hearing impaired, physical and mental disabilities, and a variety of educational and cognitive levels). Adaptable and flexible in an every-changing environment.

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Other Retirement and Savings