- Obtain prior authorization information in accordance with established guidelines.
- Must work well independently and in a team environment.
- Verify prior authorizations and/or pre-service requirements are met.
- Timely completion for all prior and retro authorization requests.
- Proactively manages and maintains all authorization requests to ensure billing of clean claims.
- Provide outstanding customer service to participants and develop and maintain positive working relationships with internal and other external customers.
- Identify and report trends and prior authorization issues relating to billing and reimbursement.
- Document all account activity and correspond to inquires in a timely manner.
- Reviews accounts on a daily basis while meeting or exceeding all daily, weekly and monthly production goals.
- Responsible for documenting authorization status and demonstrating proficiencies with software systems and electronic health records.
- Identifies prior authorization trends and/or issues resulting in delayed processing.
- Communicates and works effectively with colleagues from other departments.
- Follows written and verbal communications.
- Follows all health and safety policies and procedures.
- Performs other related duties as required or assigned.
- Confirm new patients and return appointments in computer system in accordance with physician and/or office guidelines.
- Appropriately schedule all specialty appointments
- Coordinate transportation and interpretation services for all specialty appointments as needed.
- Follows policies and procedures to contribute to the efficiency of the office.
- Prepares correspondence, memos, forms and other typing as requested by supervisor.
- Knowledge of basic computer skills such as Microsoft Office Suite (Outlook, Word, Excel, PowerPoint, etc.)
- Must be a quick learner on various software platforms.
- Ability to effectively present information and respond to questions from management, participants, auditors and coworkers.
- Track and schedule patient referrals
- Process authorizations
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Medical Authorization Assistant- OC PACE - Anaheim, United States - North American Staffing Group
Description
Job Description
Job DescriptionMedica Talent Group is excited to share this opportunity with you Our client, a well-known and reputable Healthcare Organization is seeking a Medical Authorization Assistant to join their team in Anaheim, CA
Position: Medical Authorization Assistant
Schedule:
• 40 hours a week
• Monday to Friday 8AM – 5PM (Full – time)
Assignment Length: Possibility of direct hire based on performance and need
Location: Anaheim, CA 90033
PAY RATE: $18 / HR
Job Description:
Duties include, but are not limited to:
Knowledge, Skills, and Abilities
Computer Skills
Language Skills
Essential Functions
Required Experience:
• EMR experience a plus
• Health insurance experience and general knowledge preferred.
INDNAS
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