Prior Authorization Assistant | Pierre Clinic

Avera•Pierre, SD

10h•Onsite

About The Position

Responsible for obtaining prior authorization from insurers for medical tests, procedures, surgeries and specialty appointments ordered by the provider. Has understanding of tests, procedures and preparation required prior to testing. Sees that all necessary paperwork and documentation is complete for each procedure. Performs other secretarial duties as the need arises.

Requirements

The individual must be able to work the hours specified.
Visual acuity adequate to perform position duties
Ability to communicate effectively with others
Ability to hear, understand and distinguish speech and other sounds
High School or GED Equivalent
If not a Medical Assistant must have 3-6 months experience or Associate's Medical Assistant degree
Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
Promote Avera’s values of compassion, hospitality, and stewardship.
Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
Maintain confidentiality.
Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Responsibilities

Obtains preauthorization from insurers for testing, surgery, therapies, subspecialty referral and any other prior authorization required by the patient's insurance carrier
Appropriately documents prior authorization and communicates information to the performing facility, physician, clinic staff, and patient or patient's family as necessary
Performs other generalized secretarial duties as time allows including, but not limited to: making copies, maintaining incoming and outgoing fax transactions, pulling charts, loose filing, general reception duties and scheduling appointments.