Authorization Specialist

Western Missouri Medical Center•Warrensburg, MO

2d•Onsite

About The Position

Complete the necessary tasks to verify insurance benefits, validate authorization requirements, and obtain authorization required for services ordered by or performed at Western Missouri Medical Center. Completes authorizations for Western Missouri Women's Health and Building Blocks Pediatric clinics.

Requirements

High school diploma or equivalent.
Typing skills of 45+ WPM.
Previous clerical experience.
Great customer services skills.
Previous medical support services experience.
Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.

Responsibilities

Verify insurance benefits for the patient.
Work directly with payer to validate and when necessary, submit to obtain authorization for services on behalf of the patient.
Follow up on denials related to authorization issues.
Perform pre-registration duties as requested.
Obtain correct patient demographic and insurance information.
Determine patient’s financial responsibility (i.e. co-pays and deductibles).
Collect and enters accurate MSP information for Medicare patients.
Demonstrate competency with equipment, utilizes supplies and equipment properly.
Demonstrate behaviors which promote professionalism.
Work without constant supervision, meets deadlines, makes decision based on relevant facts.
Maintain a positive attitude and behaviors in keeping with the Medical Centers Mission, Vision and Value Statement of Behavior.
Promote and instills the teamwork concept by assisting co-workers when appropriate.
Collaborate with other internal customers, providers, as appropriate, to accomplish the work of the department.
Consistently follow established Departmental, Human Resources and Hospital Policies and Procedures.
Demonstrate willingness to accept additional assignments.
Maintain regular and predictable attendance.
Perform other essential duties as assigned.