What are the responsibilities and job description for the Medical Authorization Assistant, LT care position at Sunshine Enterprise USA LLC?
Medical Authorization Assistant – Long Term Care
Company Overview : Our client, a leading healthcare provider based in Orange, CA, is seeking a dedicated Medical Authorization Assistant, who will assist with authorization functions and gather information.
Position Summary : We are looking for a qualified candidate with at least 2 years of experience in medical billing / coding, data entry and invoice reconciliation.
Work duration : Up to 6 months
Job type : On-site
Position Responsibilities
- Receives cases via fax, phone or electronically and enters new case information into the MSSPCare Online and Jiva systems.
- Conducts individual interviews / assessments with members and providers to obtain intake information.
- Obtains information on requested services according to department guidelines, performs data entry into MSSPCare Online and Jiva and verifies eligibility
- Contacts the health networks and Customer Service regarding health network enrollments.
- Assists the Medical Case Managers and Social Workers in gathering medical records, obtaining appropriate information on diagnoses and procedures and following up on phone calls.
- Documents all contacts and case information in the appropriate MSSPCare Online and Jiva scripts or activity as appropriate.
- Performs data entry into the appropriate databases for monitoring and tracking, trending of cases and other relevant databases as needed.
- Generates monthly and other required reports from the databases as requested by the Medical Case Managers, Social Workers and / or health networks.
- Completes other projects and duties as assigned.
Minimum Qualifications
Possesses the Ability To :
Sunshine Enterprise USA is an “Equal Opportunity Employer—Minorities, Females, Veterans and Disabled Persons”
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