PRECERTIFICATION PRIOR AUTHORIZATION SPECIALIST, CENTRALIZED

Responsibilities

• Obtain precertification and/or prior authorization for patients' tests and procedures ordered by PCCC Medical Oncologists and Radiation Oncologists.
• Ensure accuracy of information and supporting documents.
• Upload authorization numbers, time spans, and supporting documentation into Mosaiq and HIS (Series) software.
• Use Quality Check List (QCL) to monitor authorization requests and expiring authorizations.
• Document appropriately in Mosaiq as the official medical record.
• Contribute to program development.

Requirements

• High school graduate preferred.
• Minimum (1) year prior administrative experience or equivalent, preferably in a hospital or medical office setting.
• Working knowledge of insurance and managed care.
• Excellent computer skills, including PC and Windows literacy, Microsoft Office applications, and various office machines.
• Prior use of medical office software database preferred.

Qualifications

• Excellent communication and interpersonal skills.
• Ability to work effectively as part of a team and respond well to supervision.
• Self-motivated, proactive, and able to manage multiple tasks and adapt to varied responsibilities.
• Attention to detail and ability to handle high levels of stress.
• Flexibility in work schedule to meet accountability expectations for operations and process management.