Summary: Someone who can support our Physicians and Nurse Practitioners in the clinics by managing prior authorizations and helping triage incoming patient calls. This role keeps patient care moving by coordinating with insurance companies, gathering needed clinical information, and making sure patient questions get to the right place the 1st time.

 

*Submit and track prior authorizations for medications, imaging, referrals and procedures

*Communicates with insurance companies and request clinical details when needed

*Answer patient calls, document concerns and route messages appropriately with friendly manner

*Identify urgent symptoms and follow triage protocols

*Keeps Physicians, Nurse Practitioners and nursing staff informed of any delays, denials, or urgent issues

*Maintain accurate documentation in the hospitals EMR System

*Maintains patient confidentiality

*Schedules patient appointments accurately according to the individual locations scheduling preferences if needed

 

Looking for:

Experience in medical office or authorization setting preferred.

Strong communication and phone skills

Ability to stay organized and handle a busy workflow

Knowledge of basic Medical Terminology

Ability to prioritize and complete multiple tasks simultaneously

Detail focused and comfortable handing the various insurance portals

 

Physical demands:

Requires standing, sitting or walking for up to 8 hours or longer per workday

The ability to lift up to 50 lbs.

 

Working conditions:

Exposure to distressed patients, families or visitors

Possible exposure to inside environmental conditions

 

Qualifications:

High School graduate or equivalent.