Pre-Authorization Coordinator

Community Health Centers of Burlington • Essex Junction, VT

19h • $21 - $26 • Onsite

About The Position

This staff member supports the mission of Community Health Centers by assuming responsibility for facilitation of all aspects of pre-authorization process for medications prescribed by primary care and psychiatric providers.

Requirements

• High School Diploma or GED.
• Minimum of one year experience in healthcare/medical office setting required
• Ability to understand and follow strict confidentiality policies and procedures.
• Ability to convey detailed information, ensuring others understand
• Ability to give full attention to what others are saying, understand the points being made and asking appropriate clarifying questions.
• Ability to work and problem solve on an individual level as well as part of a team.
• Strong organization, prioritization and time management skills
• Ability to operate standard office equipment including fax machines, copiers and computers
• Ability to electronically file information and retrieve electronic files quickly and accurately
• Ability to work on site in an office setting

Nice To Haves

• Prior experience with pre-authorization is strongly preferred

Responsibilities

• Request, track and obtain pre-authorization from insurance carriers within allotted timeframe
• Follow up on denied pre-authorizations in collaboration with the in-house clinical pharmacist and other clinicians
• Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations
• Communicate any insurance changes or trends with practice management and clinical teams
• Clearly document all communications and contacts with providers, patients, and personnel in standardized documentation requirements, including proper format.
• Locate, retrieve, prepare and deliver patient information in electronic, faxed or paper form.
• On site collaboration with providers and Clinical Pharmacist to ensure timely processing
• Review pre-authorizations for completeness, accuracy and compliance with regulations
• Protect the security and confidentiality of patient records and related patient health information according to CHC policies and procedures.
• Monitor the Electronic Practice Management (EPM) and Electronic Medical Record EMR tasking as necessary
• Classify, store, analyze and destroy patient health information records per CHC regulations.
• Train practice management and clinical staff to assist with pre-authorizations as needed
• Maintain and track performance metrics as established by the supervisor and communicate when response time is not consistent with goals set by medical leadership
• On site management of paper faxes, urgent PA requests and team support
• Other duties as assigned

Benefits

• Monthly stipend for those with alternate health insurance
• Flexible Spending Account and Dependent Care Account
• Excellent Dental and Vision coverage
• Life insurance, AD&D, Short Term/Long Term Disability, Accident Insurance, and Critical Illness Insurance
• 401K via Vanguard, as well as fiduciary services via Morgan Stanley (Employer contribution of 3% of your annual salary after 1 year of service regardless of personal contributions)
• Continuing Education funds for licensed applicable roles; pooled departmental funds as allowed for other roles
• Generous Accrued CTO in addition to 8 paid annual Holidays (6 fixed, 2 floating)
• Employee Assistance Program available to all household members
• Local discounts and perks at fitness, restaurants, and local businesses!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED