Authorization Clerk
Mammoth Hospital · Mammoth Lakes, CA · Yesterday
OTHR$23.1–$28/hrFull-time
Who You Are
- Excellent communicator
- Detail oriented
- Good interpersonal skills
- Strong customer service skills
Qualifications
- High school diploma or equivalent required
- Minimum of two years of experience in healthcare/medical-receptionist/information preferred
- Knowledge of Coding preferred
What You'll Do
- Performs telephonic support for on-line authorization of routine services.
- Provides direct support to primary care practices and specialty care providers regarding utilization, authorization, and referral activities.
- Knowledge of ICD-10, CPT codes, and the use of 3 M software to code doctor's orders.
- Data enters referrals for non-complex services including DME, physical therapy, inpatient and outpatient care, behavioral health services and testing as applicable, and special circumstance requests as defined by Utilization Management.
- Affords assistance in gathering information needed for coordinators/case managers to determine continued authorization.
- Contacts providers with authorization, denial and appeals process information.
- Verifies eligibility of members and participating status of providers.
Job Information
- Full-time, day shifts
- Starting wage $23.10 to $28.00 based on qualifications
Benefits
(Not specified)
Pay
(Not specified)
Schedule
(Not specified)
Benefits
(Not specified)