Prior Authorization Specialist/ Scheduler - Yuma, United States - YUMA CARDIOLOGY ASSOCIATES

Description

About us

Mission and Core Values

Yuma Cardiology Associates mission is to provide high quality, patient centered care and other complimentary services that meet the needs of our patients and employer.

Our mission will be accomplished by:

Customer Service - We will make the patient our highest priority by striving to meet the high standards that they expect, with kindness and compassion.

Operational Efficiency - We will strive to have effective and efficient processes and will utilize resources wisely.

Employee Satisfaction - We believe that our employees are the source of our success. We will provide a work environment that enables our employees to fulfill their professional, family, and community responsibilities.

Core Values - We believe that our actions and decisions must reflect a balance of our core values.

Yuma Cardiology Associates are guided by the following core values to achieve our mission:

Compassion:

A deep awareness of the suffering of another and the desire to help, showing care of serving our community with kindness, concern, and dedication._
"A strong enthusiasm for, and devotion of, Providing Service with Our Hearts and Hands.

_

Excellence:
Continuously improving oneself, providing the highest quality, giving 100%

Respect:
A high regard and esteem for others, listening and acknowledging our patient's, team members, and provider's needs

Integrity:
Doing my job to the best of my ability even when no one is looking, the quality of being fair, honest and truthful, upholding the highest ethical standards

Teamwork:

Working collaboratively, sharing an aligned vision and goal in fulfilling our company objectives, respecting and putting the needs of the team above oneself.

Responsibilities:

• Schedule patient testing as requested/ordered by providers.
• Review and process prior authorization requests for cardiology related medical procedures, and testing.
• Verify insurance coverage and eligibility for requested services.
• Ensure all necessary documentation is complete and accurate for submission.
• Communicate with healthcare providers, insurance companies, and patients to gather required information.
• Utilize medical coding knowledge to accurately assign appropriate codes to procedures and diagnoses.
• Maintain confidentiality and adhere to HIPAA regulations when handling sensitive patient information.
• Collaborate with healthcare professionals to resolve any issues or discrepancies in prior authorization requests.
• Keep uptodate with changes in managed care policies, insurances and guidelines.

Requirements:

• Previous experience working in a medical office or healthcare setting.
• Strong knowledge of medical terminology, coding systems (ICD10), and managed care processes.
• Familiarity with insurance verification procedures and prior authorization requirements.
• Excellent attention to detail and organizational skills.
• Ability to effectively communicate with healthcare professionals, insurance companies, and patients.
• Understanding of HIPAA regulations and commitment to maintaining patient confidentiality.

Note:
This job description is intended to provide a general overview of the position. Other duties may be assigned as needed.

Pay:
$ $19.00 per hour

Expected hours: 40 per week


Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Work Location:
In person