What are the responsibilities and job description for the Medical Authorization Assistant, LTC position at Impresiv Health?
Title : Medical Authorization Assistant, LTC
Duration : up to 6 months
Compensation : $23.92 $33.49 / hour
Description : The Medical Authorization Assistant will provide office and case management support services by serving as a contact between members, physicians, nursing home facilities, community-based organizations, providers and staff. The incumbent will complete initial intake of information, assist with authorization functions and gather information. The incumbent will perform under the direction of the licensed Medical Case Managers, Social Workers, Program Mangers and department managers. The incumbent will perform medical administrative and / or routine tasks specific to the assigned program and may also perform office support functions. The incumbent will provide effective and efficient communication with the utmost courtesy in every interaction with our members, employees and other customers.
What You Will Do :
- Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity, and accountability.
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals / priorities for the department.
- Receives cases via mail, fax, phone or electronically and enters data for new case information into the medical management systems.
- Conducts individual interviews with members and / or providers to obtain intake information and gather data.
- Works with the Medical Case Manager to authorize requested services according to department guidelines and verifies eligibility through the state systems.
- Contacts the health networks and / or Customer Service department regarding health network enrollments, changes in address and primary care provider.
- Assists in gathering medical records, obtaining appropriate coding for diagnosis and procedures and follows up on phone calls.
- Documents all contacts and case information in the appropriate medical management system using the standard charting format.
- Performs data entry into the appropriate databases for monitoring and tracking, trending of cases and other relevant databases as needed.
- Answers calls and provides customer service to providers and members, provides care coordination and refers the callers to the correct department.
- Sends letters to providers and members.
- Generates monthly and other required reports from the databases as requested by the Medical Case Manager and / or health networks.
- Completes other projects and duties as assigned.
You Will Be Successful If :
What You Will Bring :
About Impresiv Health :
Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.
Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.
That's Impresiv!
Salary : $24 - $33
