PRIOR AUTHORIZATION ASSISTANT in Macomb, Illinois at McDonough District Hospital
Job Function: Admin/Clerical/Secretarial
McDonough District Hospital
Macomb, Illinois, 61455, United States
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Job Description
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Job Summary
- Primary function is coordination, processing and scheduling of medical referrals and prior authorizations for a variety of medical services and procedures for MMG clinic patients. This requires clinical knowledge and understanding of CPT and ICD codes to meet the requirements of third party payers and to ensure minimal delay in securing referral appointments or authorizations for multiple patients in multiple locations. Collaborates with patients, providers and support staff. This position requires the use of clinical and administrative judgment and initiative to determine best approach for both urgent and non-urgent patient care needs.
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Job Specifications
- EDUCATION AND EXPERIENCE: High School graduate or equivalent is required. Previous experience in coding or previous medical office experience is preferred.
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JOB KNOWLEDGE: Has knowledge of CPT/ICD-10 codes, medical terminology and insurance authorization and referral processes. Broad-based knowledge of office processes and key roles within medical practice office. Knowledge of third party payer guidelines. Understanding of clinical operations and procedures and proficiency with computers and knowledge of software applications. The patient population must be considered when assessing job knowledge required from the employee. -
ABILITIES, INTERESTS AND TEMPERAMENTS:- Sound interpersonal skills.
- Express thoughts in clear and concise terms, both verbal and written.
- Proficient in use of computers, navigating software and use of telecommunication devices. Comfortable with learning software applications.
- Capable of setting priorities in all situations.
- Reacts calmly and effectively in difficult situations.
- Remains self-motivated and continually interested in self-improvement.
- Capable of using tact, courtesy and diplomacy in all interactions.
- Must have the ability to work with a variety of people of diverse populations (e.g. cultural diversity, employee workforce, hearing impaired, physical and mental disabilities, and variety of educational and cognitive levels).
- Adaptable and flexible in an every-changing environment.
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Job Location
Macomb, Illinois, 61455, United States
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