Prior Authorization Assistant

Avera•Pierre, SD

2d•Onsite

About The Position

The Prior Authorization Assistant obtains insurer authorization for medical tests, procedures, surgeries, therapies, specialty appointments, referrals, and other services ordered by providers. The role requires an understanding of tests, procedures, and required preparation, and ensures the necessary paperwork and documentation are complete. The assistant documents authorization and communicates relevant information to the performing facility, physician, clinic staff, and patient or the patient’s family. Other secretarial duties are performed as time allows. The position is based at Avera Pierre Clinic and works a day shift, 8:00 a.m.–5:00 p.m., Monday through Friday, for 80 hours every two weeks.

Requirements

High school diploma or GED equivalent.
If not a Medical Assistant, 3–6 months of experience or an Associate’s Medical Assistant degree.
Ability to work the specified hours.
Visual acuity adequate to perform position duties.
Ability to communicate effectively and to hear, understand, and distinguish speech and other sounds.
Ability to perform the essential job functions satisfactorily; reasonable accommodations may be available if they do not cause undue hardship to the employer.
Commitment to applying Avera’s mission, vision, core values, and social principles.
Uphold Avera’s CARE standards: Communication, Attitude, Responsiveness, and Engagement.

Responsibilities

Obtain preauthorization from insurers for testing, surgery, therapies, subspecialty referrals, and other services requiring authorization under the patient’s insurance.
Document prior authorizations and communicate information to the performing facility, physician, clinic staff, and patient or the patient’s family as necessary.
Ensure required paperwork and documentation are complete for each procedure.
Perform general secretarial duties as time allows, including making copies, maintaining incoming and outgoing fax transactions, pulling charts, loose filing, reception duties, and scheduling appointments.
Coordinate workflow with team members and maintain a productive and efficient work environment.
Maintain confidentiality and comply with applicable safety principles, laws, regulations, and standards.