Prior Authorization Specialist (FT) | Orthopedics | Ames | 2024-265

Mcfarland Clinic Pc • Ames, IA

397d

About The Position

The Prior Authorization Specialist plays a crucial role in the Orthopedic department at McFarland Clinic, focusing on providing exceptional care and support to patients recovering from injuries or undergoing orthopedic procedures. This position involves verifying insurance, managing authorizations, and ensuring effective communication with patients and insurance providers to facilitate timely care.

Requirements

• High School Diploma, GED or HiSet
• Basic computer skills
• Attention to detail and ability to multitask
• Excellent written and verbal communication skills
• Excellent interpersonal skills
• Knowledge of medical terminology

Nice To Haves

• Epic EMR experience preferred but not required
• Healthcare experience preferred but not required
• Pre-authorization knowledge/experience preferred but not required

Responsibilities

• Review patient's medical history and verify patient's insurance
• Work with insurance plans for pre-authorization and re-authorization of patient services
• Complete authorizations and submit requested medical documentation to insurance companies
• Troubleshoot authorization related issues
• Maintain open communication regarding status of authorization and any additional documentation or information needed
• Maintain accurate documentation in patient's medical record
• Manage incoming and outgoing referrals for services, including appointments and procedures
• Contact referring physicians for additional information as needed
• Monitor schedule for potential issues
• Assist with other clerical tasks as needed

Benefits

• Health insurance
• Dental insurance
• 401(k)
• Paid Time Off (PTO)

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED