Prior Authorization Coordinator - Gilbert, United States - Arizona Arthritis & Rheumatology Associates
Description
Recently named one of Arizona's Top Workplaces, Arizona Arthritis & Rheumatology Associates, P.C. is the largest private Rheumatology practice in the United States.The practice has over 51 providers, 11 sites and over 250 employees providing assessment and treatments for rheumatological, podiatric, and electromyography patients.
Our providers work together to keep patients healthy, and are recognized for excellence in medicine and for being pioneers in new treatments, ably supported by our Research department.
We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
Our vision is to provide the best Rheumatology care, anywhere and, to balance sustainable operation with the highest possible level of patient care.
Responsibilities:
- Managing incoming calls or incoming post services claims work.
- Obtains and inputs preauthorization insurance and demographic information into the appropriate medical/scheduling system. Verifies patient benefits and eligibility prior to completing referral
- Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
- Responsible for the identification and data entry of referral requests into the system in accordance with the plan certificate.
- Responds to telephone and written inquiries from clients, providers and inhouse departments.
- Conducts clinical screening process.
- Checks benefits for facilitybased treatment.
- Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
- Must be able to work Monday-Thursday from 7:00 a.m. to 6:00 p.m.
- Insurance eligibility and benefits experience
- Prior authorization experience
- Medical terminology
- Bilingual in Spanish
- Experience in medical or insurance field
- NextGen
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Application Question(s):
- Failure to answer will result in automatic rejection. AARA has a drug free nonsmoking policy, are you comfortable with complying with this company policy?
- Failure to answer will result in automatic rejection. AARA requires an annual flu vaccine, and COVID19 vaccine for all staff as a company wide policy, no exemptions. Are you comfortable complying with this policy?
- What is your desirable rate of pay?
- If selected to move forward in the hiring process, AARA runs a background, drug screen, and soft credit check. Are you comfortable with complying?
Experience:
- Customer service: 1 year (preferred)
Work Location:
In person
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