Scheduler and Authorization Specialist | Urology | Full Time

Gritman Medical Center • Moscow, ID

8d

About The Position

JOB DUTIES AND RESPONSIBILITIES:

Monitor incoming orders and gathers all information needed for authorization
and scheduling.
Submit for prior authorization with required documentation to the insurance
company.
Ensure valid authorization for each needed procedure or visit.
Submit required medical and financial information to the surgery
center/hospital as needed.
Maintain consistent follow-up on the status of all prior authorization
requests.
Responsible for authorization maintenance, tracking, and follow-up.
Responsible for entering approved authorizations into the EHR.
Responsible for scanning/faxing authorization notes as appropriate.
Contacts primary care physician offices regarding referrals if needed.
Maintain effective communication with supervisor and care team.
Maintain appropriate, collaborative communication with the surgery center and
hospital.
Ensure that patient's chart is up to date with all information.
Maintain patient confidentiality.
Perform other related duties as directed or required.

Requirements

• Minimum of one year of insurance verification experience.
• Minimum of two years of experience in a medical office environment.

Responsibilities

• Monitor incoming orders and gathers all information needed for authorization and scheduling.
• Submit for prior authorization with required documentation to the insurance company.
• Ensure valid authorization for each needed procedure or visit.
• Submit required medical and financial information to the surgery center/hospital as needed.
• Maintain consistent follow-up on the status of all prior authorization requests.
• Responsible for authorization maintenance, tracking, and follow-up.
• Responsible for entering approved authorizations into the EHR.
• Responsible for scanning/faxing authorization notes as appropriate.
• Contacts primary care physician offices regarding referrals if needed.
• Maintain effective communication with supervisor and care team.
• Maintain appropriate, collaborative communication with the surgery center and hospital.
• Ensure that patient's chart is up to date with all information.
• Maintain patient confidentiality.
• Perform other related duties as directed or required.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed
• Number of Employees: 251-500 employees