POSITION SUMMARY: Performs prior authorizations for patient testing and procedures to ensure insurance coverage. Ensures current and accurate information is loaded into the electronic medical record for patients seen by medical and surgical specialists.
Essential Duties and Responsibilities
Completes all necessary paperwork and gathers all necessary information needed by insurance companies to prior authorize patient testing and procedures in a timely manner.
Develops rapport with insurance companies and providers (including non-DSH providers) to expedite the prior authorization process.
Accurately inputs medical record information into the electronic medical record.
Records necessary information into the GE Centricity referral database. Uses database to create requested reports.
Acts as resource and liaison to patients regarding prior authorization issues.
Performs additional clerical tasks as needed, including scheduling patient appointments.
Performs other duties as assigned.
High School Diploma or General Education Degree (GED).
One year related experience preferred.
Knowledge of medical terminology, medical billing and/or medical coding preferred.
Reports directly to the Department Director and Supervisor.
Works closely with all department staff.
Frequent contact with patients, providers (including non-DSH clinics) and insurance companies.
Work is performed largely in a pleasant hospital environment with minimal chance for personal injury.
Occasionally works near moving mechanical parts.
Occasionally has exposure to hazardous material and exposure to blood and body fluids.
The noise level in the work environment is usually moderate.
Frequently required to sit, stand or walk.
Required to use hands to handle or feel objects, tools or controls.
Frequently lift and/or move up to 25 pounds.
Occasionally lift and/or move up to 50 pounds of department supplies and equipment.
Requires specific vision abilities for far vision, near vision, depth perception, colors, accommodation and peripheral vision.
Vision correctable to 20/40.
Acknowledgement: This job description/evaluation describes the general nature and level of work performed by an employee assigned to this position. It does not state or imply that these are the only duties and responsibilities assigned to the job. The employee may be required to perform other job-related duties as requested by the department manager or administration. All requirements are subject to change over time and to possible modification to reasonably accommodate individuals with disabilities.