What are the responsibilities and job description for the Clerk, Prior Authorization position at Three Crosses Regional Hospital?
Prior-Authorization Clerk FT Position Available
If you're looking for a place to grow your skills and experience, Three Crosses Regional Hospital is looking for you! We are looking for a Prior Authorization Clerk that is committed to clinical excellence and building a patient-centered culture.
Three Crosses Regional Hospital is a high reliability hospital that minimizes harm to patients through outstanding teamwork, speaking up about error and rapidly learning from mistakes. Each member is required to adopt our team norms or behavioral standards in order for us to build that culture:
• Manage conflict professionally • Be Transparent • Support a Culture of Safety • Be Trustworthy • Two-way communication between Team members and Managers. • Accept feedback • Create a Just Culture • Avoid the Silo Mentality • Be someone who follows through • Own the whole patient experience • Come prepared
In summary, the expectations of someone that joins a high reliability hospital are exceedingly high. It will require your full commitment to practice each of these norms and demonstrate that you care enough about our patients to keep them as safe as you can.
Position Summary:
This position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribes and triages patient calls to physicians, coordinates patient appointments/orders.
Duties/Responsibilities:
- Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.
- Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.
- Request, follow up and secure prior-authorizations prior to services being performed.
- Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
- Maintains a level of productivity suitable for the department.
Requirements:
- High School Diploma or GED
- Previous hospital and/or medical office experience preferred
- Basic work processing, order entry, spreadsheets, EMR system experience
- Medical Billing certification preferred.
“We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law”.
