Prior Authorization/Receptionist- 30 hours/week

Located in:

Duties and Responsibilities

The duties include, but are not limited to: 

• Obtaining referrals/pre-certification of procedures
• Scheduling required labs, radiology exams, and cardiac workup 
• Confirming clearance and consents are in order
• Faxing all required documentation (patients consents, clearances, results, H&P., etc.) to the OR, confirming receipt of same
• Finalizing schedule, arranging any special requirements (ex. equipment needs, verifies schedule with provider and patient, coordinates add-ons, follows proper procedure regarding conflicts)
• Patient communications while adhering to HIPAA and OSHA guidelines
• Assist with/complete all Front Desk operations and the use of the Practice Management system to ensure efficient patient registration and check out processes.
• Greeting patients and verifying/inputting demographic information into Practice management system.
• Collecting and inputting all valid licenses and insurance information.
• Collecting and posting all co-payments and payments made at time of service.
• Maintaining/organizing patient documents/files
• Answering phones, scheduling appointments, taking messages
• Reconciling co-pays and time of service payments collected daily
• Filing/labeling/sending outbound and inbound faxes
• Maintain confidentiality and use discretion when handling patient’s medical records and information.
• May perform charge entry process.
• Completing referrals for a specialist
• Prior authorization requests from patients and/or providers
• Filing any/all paper
• Rooming patients when checked in and provider is ready to treat the patient
• Performs miscellaneous job-related duties as assigned

Qualifications or Education, Training and Experience

• High School graduate or equivalent. Computer literacy required.
• 1-2 years of previous customer service/data entry, administrative/office management/clerical experience required.
• Experience of working in the health or other public sector organization helpful, but not necessary.

Knowledge and Skills/Expected Competencies

• Business office procedures
• Grammar, spelling, punctuation, and basic arithmetic
• Medical insurance and medical billing skills
• Operating all office equipment
• Strong organizational and leadership skills
• Answering the telephone in a pleasant and helpful manner and using a multi-line telephone system.
• Establishing and maintaining effective working relationships with patients, employees, and the public.
• Speak clearly and concisely
• Read, understands, and follows oral and written instruction.
• Exceptional customer service skills
• Ability to sort and file materials correctly by alphabetic or numeric systems
• Ability and willingness to help patients with check in or check out process
• Work may require hand dexterity for telephone and office machine operation.
• Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies.
• Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier and such other office equipment as necessary.
• Hearing must be in the normal range for telephone contact.
• It is necessary to view computer screens for long periods and to work in an environment that may be stressful

Featured Benefits:

• Health, dental, and vision insurance.
• 401K with automatic employer contribution.
• PTO and Paid Holidays.
• Company paid Life Insurance.
• Access to voluntary short and long-term disability insurance.
• Access to additional life insurance.
• Access to a variety of Wellness programs. 

The compensation range for this position is $16.00/hour– $23.00/hour. Compensation is based on the level and requirements of the role. 

Salary within our ranges may also be determined by your education, experience, knowledge, skills, abilities, and location, as required by the role, as well as internal equity and alignment with market data