Medical Authorization Assistant- OC PACE

Company: North American Staffing Group
Location: Anaheim
Posted on: May 5, 2022

Job Description:

Job DescriptionJob description Under the supervision of the Quality Improvement Team Leader, the Medical Authorization Assistant is responsible for all aspects of the authorization process. Responsibilities include collecting all necessary documentation, contacting the referring provider office for additional information, and completion of the required prior authorization form to proceed with the request. The Medical Authorization Assistant will work closely with the clinical staff, claims, and billing departments. - Must display excellent communication, organization, and follow-up skills with the ability to handle multiple assignments simultaneously. In addition, demonstrates good judgment as well as attention to detail. Essential Job Functions · - Verify prior authorizations and/or pre-service requirements are met. · - Timely completion for all prior and retro authorization requests. ·- Proactively manages and maintains all authorization requests to ensure billing of clean claims. · - Provide outstanding customer service to participants and develop and maintain positive working relationships with internal and other external customers. ·- Identify and report trends and prior authorization issues relating to billing and reimbursement. · Document all account activity and correspond to inquiries in a timely manner. · Reviews accounts daily while meeting or exceeding all daily, weekly, and monthly production goals. · - Responsible for documenting authorization status and demonstrating proficiencies with software systems and electronic health records. · Identifies prior authorization trends and/or issues resulting in delayed processing.

Location: AnaheimSchedule: This position is Monday-Friday 8AM - 5PMINDMED

Keywords: North American Staffing Group, Anaheim , Medical Authorization Assistant- OC PACE, Healthcare , Anaheim, California