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JOB TITLE: Pre-Authorization Specialist
GENERAL STATEMENT OF DUTIES: Responsible for assisting with the day-to-day functions of the Prior-Auth department. The goal is to improve efficiency and decrease turn-around time related to prescription medications and procedures requiring prior- authorization from any payer source. Assists in the delivery of health care and patient care management.
SUPERVISION RECEIVED: Manager of Call Center/ Director of Clinical Practice
Location: Hybrid / Some in office days Wheaton
Cell Phone Required
SUPERVISION EXERCISED: None
TYPICAL WORKING CONDITIONS:
Exposure to bio-hazardous materials, medicinal preparations. Fast paced, busy medical office.
EXAMPLES OF DUTIES: (List may not include all the duties assigned.)
PERFORMANCE REQUIREMENTS: (Knowledge, Skills, and Abilities)
COMPLIANCE:
The responsibilities associated with this position allow access to the computer role of ARA Check In/Out only.
We are committed to enforcing minimum necessary access to our patients’ PHI by limiting the uses and disclosures of this information within our practice. In order for this employee to carry out his/her job (carry out TPO) in a manner that best serves our patients, the employee needs access the afore mentioned computer role. Role descriptions are explicitly defined in our HIPAA manual. Access to computer information is password protected. Upon termination of an employee, his/her password will be deleted from the system.
EDUCATION:
CMA or RN Degree
EXPERIENCE:
Two years’ experience in a medical office/ or pharmacy tech
Proficient PC skills including EHR and Excel software.
DISCLAIMER:
The foregoing description is not intended, and should not be construed, to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Full Time
$56k-69k (estimate)
12/21/2023
07/01/2024