Authorizations Clerk
About The Position
Madera Community Hospital Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley. We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient. Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community. Position Summary: The Authorizations Clerk will verify patient insurance eligibility and coverage, ensuring that all necessary information is accurate and up-to-date. Will complete and submit authorization requests to third-party payers, ensuring that all data elements (such as CPT codes and diagnosis codes) are included. Will communicate with patients, healthcare providers, and insurance companies. Will maintain accurate records of all authorization requests, documenting approvals and denials, and following up on outstanding authorizations to ensure timely decisions.
Requirements
- Excellent communication and interpersonal skills required.
- Ability to multitask and manage multiple requests simultaneously.
Nice To Haves
- Prefer prior experience in medical billing, collections, insurance or coding.
- Bilingual-English-Spanish preferred.
Responsibilities
- verify patient insurance eligibility and coverage
- complete and submit authorization requests to third-party payers
- communicate with patients, healthcare providers, and insurance companies
- maintain accurate records of all authorization requests
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What This Job Offers
Career Level
Entry Level
Education Level
No Education Listed
