Prior Authorization Collections Representative OBGYN

Banner Health

1d • Onsite

About The Position

The academic medicine difference. At the center of Banner – University Medicine is patient care, research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today. The Obstetrics and Gynecology (OB/GYN) department at Banner University Medical Center Phoenix, also known as the University Medicine Women's Institute, offers a comprehensive range of services for women's health, including prenatal care, delivery, gynecological care, and more. As an Prior Auth Collections Representative on this team, you will have the opportunity to provide direct support to our patients assisting with obtaining authorizations and handling collections for OBGYN clinic. Seeking 2 years of experience. The schedule is Monday-Friday from 8:00am to 4:30pm University Medical Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet™ recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730 licensed beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine - Phoenix. Additionally, the campus responsibilities include fully integrated multi-specialty and sub-specialty clinics and has operations in multiple locations spanning across the Phoenix metropolitan city. POSITION SUMMARY Under the direction of the Prior Authorization leader, the primary purpose of this position is to perform non-clinical functions related to Prior Authorization requests and notifications.

Requirements

• Required for successful performance in this position is strong knowledge of medical terminology, knowledge of HMO systems and experience working with the medical referral/denial process.
• This knowledge is normally gained through two years of experience in medical office or clinical environment.
• Ability to work independently is required, as is the ability to work with data base systems and good working knowledge of PC applications.

Nice To Haves

• Additional related education and/or experience preferred.

Responsibilities

• Review all requests for authorization for eligibility, expiration date, accuracy and completeness.
• Data enters all member information in documentation data base. Uses approved notification templates to meet regulatory requirements.
• Enters all approvals, extensions, downgrades, denials/partial denials/service reductions into the computer systems.
• Performs other related duties, consistent with the goals and qualifications of this position.
• Works cooperatively with both internal and external customers in assisting members and providers with referral related issues.
• Performs other related duties as assigned, which are consistent with the goals and qualifications of this position.
• This position performs all related duties in a manner that is consistent with and in support of the organization's mission, vision, values and goals.
• This position works under supervision, prioritizing data from multiple sources to provide quality care and support. Incumbents work in a fast-paced, sometimes stressful environment with a strong focus on customer service. Interacts with staff at all levels throughout the organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed