Authorizations Specialist

SENT Management Services LLC•Sacramento, CA
•$23 - $25

About The Position

Sacramento Ear, Nose & Throat’s (SacENT) award-winning physicians are nationally recognized leaders in their fields. At SacENT, the mission of the physicians and staff is to provide the highest standard of state-of-the-art specialty medical care in a personal, compassionate manner. The Authorizations Specialist is responsible for obtaining authorization as required for medical tests and/or surgical procedures as ordered by Sacramento ENT physicians.

Requirements

  • High School degree or GED
  • Minimum of 2 years authorizations’ experience in a medical or hospital setting.
  • Above average communication skills.
  • Professional attitude and ability to establish and maintain effective relationships with staff, patients and public.
  • Ability to assess, prioritize, plan and implement tasks effectively.
  • Ability to read, understand and follow oral and written instructions.
  • Demonstrates knowledge of authorization procedures from running reports to obtaining authorization via phone or internet.
  • Knowledgeable in reading and understanding reports to facilitate authorizations process.
  • Knowledgeable in the use of medical management software to enter all necessary information on authorization status.
  • Microsoft Office skills.

Nice To Haves

  • EPIC EHR experience preferred

Responsibilities

  • Obtains and verifies authorization for new and return patient visits.
  • Obtains and verifies authorizations for surgical procedures.
  • Request authorization for Sleep Studies and durable medical equipment deemed necessary for follow-up patient care.
  • Outside Referrals to other facilities.
  • Refer patients back to PCP’s office if insurance dictates patient needs to be referred elsewhere.
  • Obtains retroactive authorization when needed.
  • Other duties as assigned.
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