QUALIFICATIONS

Education

Graduate from an accredited Medical Assistant Program or an approved School of Nursing.

Experience/Skills

Knowledge of practice operations
Clinical experience
Knowledge of medications
Commitment to “cross training” assigned tasks
Commitment to customer satisfaction in responding to all patient/customer inquiries (internal customers)
Ability to use office equipment
Ability to adapt to changes in procedures and/or workload
Excellent written and oral communications skills
Ability to work independently with little supervision
Ability to work under pressure with time constraints
Ability to concentrate

Required Licenses/Certifications

Working Conditions

Clean, well-lit, well-ventilated general office working environment
Hybrid position; utilizing in-clinic time and remote work time at the discretion of the RN Clinical Manager after 90 days of in-clinic probation.
Must have private, dedicated work space to work in remote environment.

ROUTINE RESPONSIBILITIES

Behavioral Standards

Patient Representative Duties

Responsible for prior authorizations for medications.
Responsible for accurate and timely processing of prior authorizations, perform appeals as necessary, and the ultimate resolution of each case as assigned.
Back up to hospital medication prior authorizations if needed.

Service

Clinical Staff

Works with Clinical Supervisor to provide requested information needed for projects
Will fill in as float or phone nurse in clinical schedule when deemed necessary by management
Maintains/meets all Clinical skills/duties required by SCCH Clinics as an employee
Performs other duties as assigned

Full time/Day shift
64 hours/Biweekly

Learn more about this Employer on their Career Site

Hybrid Prior Auth Specialist/Clinic Float