Call Center Payer Auth Specialist

Schedule

Day Shift, 40 hours weekly. Monday - Friday 8:30 AM - 5:00 PM.

About the Role

This position is responsible for precertification/prior authorization of all services ordered by practice providers prior to services being performed. Additionally, this role involves scheduling procedures such as surgeries, cardiac diagnostics, and other related tasks, including blocking schedule time for procedures.

Responsibilities

• Obtains precertification/prior authorization for all services ordered by provider(s) within the office (radiologic procedures, cardiac diagnostic procedures, laboratory procedures, surgeries, medications, etc.) prior to procedure being performed.
• Enters surgery case requests including CPT code(s).
• Enters prior authorization confirmation information.
• Works with central scheduling/surgery scheduling to schedule procedures.
• Schedules pre-admission testing.
• Schedules post-operative visits.
• Maintains providers' practice schedules, including blocking time for procedures.
• Rooms patients and records vital signs (based on needs of the practice).
• Performs other duties as assigned by supervisor/manager.

This list of duties and responsibilities is not intended to be all-inclusive and can be expanded to include other duties or responsibilities that management deems necessary.

Requirements

• High School Diploma or Equivalent (required).
• Minimum one-year front office experience (required).
• Prior pre-certification/prior authorization experience (preferred).