Prior Authorization Specialist Job Listing at Thompson Health in Canandaigua, NY (Job ID 9cb2749b-00c5-4e80-91f7-a61514fd10b7)

Description

Schedule: Monday - Friday, Full time, Days 

Main Function:

• Performs with minimum direction and considerable latitude for independent judgement, obtains prior authorizations for both
  standard and complex requests.
• Provides multiple and complex details to insurance carrier by anticipating their questions when reviewing and retrieving relevant information from the electronic medical record.
• Responsible for planning, execution, appeals and efficient follow through on all aspects of the process which as direct, multifaceted impact (quality, financial, patient satisfaction, etc.) on patient scheduling, treatment, care and follow up.
• May train and coordinate activities of peers or support staff.

Required Job Specific Competencies: 

• Demonstrates the ability to work independently and exhibits flexibility in decision making and prioritizing assignments.
• Demonstrates the ability to develop and maintain collaborative working relationships with…. Exhibits leadership skills through…..
• Actively guards the confidentiality of sensitive information including but not limited to the patients, staff and the health system.
• Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patient.

Education, experience and qualifications: 

• Associate's degree in Medical, Secretarial or related field and a minimum of three years of relevant experience required; or an
  equivalent combination of education and experience.
  Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical
  records, preferred.
• Demonstrated customer relations skills.

Pay Range: $19.45 - $24.00 

Starting Pay: Based on experience 

Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply