Job Description
We are seeking someone who can provide compassion and exceptional customer service while managing the administrative aspects of the Central Authorization Department, multi-line phones and patient scheduling. Experience with medical insurances is needed. Full time position available with medical benefits, paid time off, 401K and a unique opportunity for employee profit sharing.
POSITION TITLE: Authorization & Eligibility Representative
DEPARTMENT: Central Authorization
REPORTS TO: Authorizations & Eligibility Manager
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Process Physical and Occupational Therapy referrals
- Process incoming faxes and referrals
- Verify insurance eligibility
- Contact payers to verify patient eligibility and benefits
- Request prior authorizations from multiple insurance companies
- Provide payers with additional information to help facilitate authorization process
- Make outbound calls to insurance payers for status of authorization requests
- Contact referral sources as needed to obtain additional information
- Provide back office support to all clinics
- Complete daily insurance task list from clinics
- Receive and distribute inbound calls to different clinics
- Utilize our EMR system, Raintree
QUALIFICATIONS
- Minimum 2 years of Customer Service
- Strong communication skills to effectively communicate with patients and referring physician offices
- Excellent customer service skills
- Must be a team player
- Ability to adapt, prioritize and meet deadlines
- Positive energy and attitude ability to "smile over the phone"
- Accurately an efficiently enter information into different portals & systems as needed
- Handle multiple departmental tasks simultaneously
- Ability to use phone and computer systems
- Facilitate patient inquires in a timely manner
- Working knowledge of PPO & HMO insurances
EDUCATION
- High School Diploma or GED Required
- BA Degree preferred
PHYSICAL DEMANDS
- Requires prolonged sitting, frequent mobility, and some bending, stooping, stretching
- Requires vision and hearing within normal range
- Requires manual dexterity in the use of office machines such as telephone, copier, computers, and other equipment as necessary
- Some lifting of up to 30 pounds