Medical Authorization Associate

PACT and PACT MSO•West Haven, CT

11d•Onsite

About The Position

PACT MSO is seeking a Medical Authorization Associate for a busy primary care office. The associate obtains and ensures that pre-authorizations are completed effectively, accurately, and efficiently. The position is based in West Haven and works Monday through Friday, 8:30 a.m. to 5:00 p.m.

Requirements

High school diploma or equivalent.
At least 5 years of experience obtaining authorizations.
Intermediate computer skills, including MS Office.
Understanding of authorization processes and procedures.
Knowledge of EHR systems.
Attention to detail.
Collaboration skills.
Proficient communication skills.

Responsibilities

Obtain authorizations or referrals by contacting insurance companies, laboratories, and other relevant parties.
Analyze the information required to complete pre-authorizations with insurance carriers and service area contacts.
Compile and communicate accurate, pertinent clinical data and patient demographics to insurance companies in a timely, organized manner.
Communicate information appropriately, accurately, and promptly.
Enter necessary authorizations into the applicable database.
Retrieve medical records and critical information from referring providers before patient procedures; ensure necessary laboratory results, imaging results, and medical records are obtained when needed.
Collaborate with staff to ensure appropriate insurance information is obtained.
Inform patients of their referral and authorization responsibilities and help them navigate the system.
Develop tools to assess referral processes for efficiency and customer service.
Enter patient demographic and identifying information into the EHR.
Obtain pre-operative clearances from provider offices.
Cover the front desk as needed.
Prepare estimates for patient procedures.
Schedule office visits.