Busy medical practice is seeking Full-Time Precertification/ Prior Authorization Specialist with Medical Records experience include who must have knowledge of medical terminology, basic to intermediate computer knowledge, One year of medical office experience, Previous customer service experience and preferred to have eClinical Works experience.

• Maintain ongoing tracking and appropriate documentation on referrals to promote

team awareness and ensure patient safety.

• Ensure complete and accurate registration, including patient demographic and

current insurance information.

• Assemble information concerning patient's clinical background and referral needs.

Per referral guidelines, provide appropriate clinical information to specialist.

• Contact review organizations and insurance companies to ensure prior approval

requirements are met. Present necessary medical information such as history,

diagnosis and prognosis. Provide specific medical information to financial

services to maximize reimbursement to the hospital and physicians.

• Review details and expectations about the referral with patients.
• Assist patients in problem solving potential issues related to the health care

system, financial or social barriers (e.g., request interpreters as appropriate,

transportation services or prescription assistance).

• Be the system navigator and point of contact for patients and families, with

patients and families having direct access for asking questions and raising

concerns. May assume advocate role on the patient's behalf with the carrier to

ensure approval of the necessary supplies/services for the patient in a timely

fashion.

• Identify and utilize cultural and community resources. Establish and maintain

relationships with identified service providers.

• Ensure that referrals are addressed in a timely manner.
• Remind patients of scheduled appointments via mail or phone.
• Ensure that patient's chart is up to date with information on specialist

consults, hospitalizations, ER visits and other information related to medical needs and care of patient.

We will not accept phone calls about this position.

Job Type: Full-time

Pay: From $17.00 per hour

Weekly day range:

• Monday to Friday
• No weekends

Experience:

• eClinicalWorks: 1 year (Required)
• Medical office: 2 years (Required)

Ability to Relocate:

• Macon, GA 31201: Relocate before starting work (Required)

Work Location: In person