Responsibilities:

• Take care of and monitor prior authorization requests
• Communicate as needed with patients to obtain insurance information
• Answering phones, receives all referral and intake information.
• Complete referral/intake forms and route them appropriately for admission approval.
• Assist in the scheduling of appropriately skilled person to fill the case, inputs scheduling information on the computer.
• Check common working files for Medicare Coverage and verification of benefit period.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Successfully collaborates and communicates with coworkers from various departments
• Perform other assigned tasks and duties necessary.

Knowledge & Abilities:

• Knowledge of Insurances Knowledge of coding and clinical operating policies.
• Knowledge of medical terminology.
• Knowledge of computer systems, programs, and spreadsheet applications with proficient skills in computer navigation and typing.
• Ability to understand and interpret policies and regulations.
• Ability to read and interpret medical charts.
• Ability to examine documents for accuracy and completeness.

Qualifications:

• ICD-10: 1 year (Preferred)
• Prior Authorization: 1 years (Preferred)