POSITION: Pre Authorization Nurse

HOURS: PRN or As Needed

SUPERVISOR: Clinic Manager

ESSENTIAL JOB DUTIES: (This list may not include all of the duties assigned.)

1. Perform prior authorization process by receiving information from the clinics and pharmacies and contacting insurance companies for prior authorizations including but not limited to imaging services, medications and other services.
2. Handles all requests for prior authorizations in a timely and accurate manner.
3. Communicate professionally and timely with all customers internal and external.
4. Document information in regarding the prior authorization in the appropriate locations in the patient chart – or other system as required.
5. Arranges for patient testing and admissions.
6. Responds to and refers incoming telephone calls. Instructs patient and family regarding medications and treatment instructions.
7. Orders, prepares, and inspects patients’ charts. Posts tests and examination results.
8. Performs related work as required.

COMPETENCIES:

EDUCATION AND EXPERIENCE:

Required: Graduation from an accredited school of nursing or practical nursing

Preferred:

CERTIFICATE/LICENSE:

Job Description is available upon request.