Pay Range: $20.00 to $22.00 an hour.

By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company.

COVID-19 Considerations: Masking is optional for employees, visitors, patients, vendors, etc. All employees are to have received COVID-19 vaccine including booster, if applicable, and flu vaccine.

PACT MSO is a Management Service Organization that supports numerous physician groups. We offer health benefits, paid time off, and a friendly working environment. We are a medium sized company with a family atmosphere.

PACT MSO has a busy Dermatology Office in Orange is seeking aTemporary Full Time Medical Authorization Associate. The hours are Monday through Thursday 7:45 am to 5:00 pm and Friday 7:45 am-1:00 pm. The assignment may last through August 11, 2023.

The position obtains and assures that all pre-authorizations are completed effectively, accurately, and efficiently.

Essential Functions

• Obtain authorizations or referrals
• Contact insurance companies, labs, etc. get proper authorization
• Analyzes information required to complete pre-authorizations with insurance carriers and service area contacts.
• Accurate and pertinent clinical data and demographics is compiled and communicated to the patient’s insurance company in a timely and organized fashion.
• Communicate information appropriately, accurately, and timely
• Enters necessary authorizations into applicable database.
• Retrieves medical records and critical information from referring provider(s) prior to patient procedures; ensures that all necessary laboratory, imaging test results, and medical records are obtained if needed.
• Collaborates with other staff members to ensure appropriate insurance information is obtained.
• Inform patients of their referral/authorization responsibilities.
• Advocates for patients by helping them navigate through the system.
• Develops tools to assess patient referral processes with respect to efficiency and customer service.
• Patient demographic and additional identifying Enter patient information in EHR

Skills and Knowledge

• Intermediate computer skills including MS Office
• Understands authorization process and procedures
• Demonstrates knowledge of EHR
• Attention to detail
• Collaboration skills
• Communicates proficiency

Education and Experience

• High School Diploma or equivalent
• At least 3 years of Medical Insurance Authorization Experience Required

Experience

• 3 year(s): Medical Insurance Authorization Experience

Education

• High School or better

Behaviors

• Team Player: Works well as a member of a group
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Dedicated: Devoted to a task or purpose with loyalty or integrity

Motivations

• Financial: Inspired to perform well by monetary reimbursement
• Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
• Growth Opportunities: Inspired to perform well by the chance to take on more responsibility