What are the responsibilities and job description for the Call Center Payer Auth Specialist position at Reid Health?
7750 Contact Center
Schedule: Day Shift. 40 hours weekly. Monday - Friday 8:30-5
About The Position
This position is responsible for precertification/prior authorization of all services ordered by practice providers prior to services being performed. In addition, this position is responsible for the scheduling of procedures (surgeries, cardiac diagnostics, etc.) or schedule, including blocking schedule for procedure time
Overview Of Responsibilities
Education & Experience
Schedule: Day Shift. 40 hours weekly. Monday - Friday 8:30-5
About The Position
This position is responsible for precertification/prior authorization of all services ordered by practice providers prior to services being performed. In addition, this position is responsible for the scheduling of procedures (surgeries, cardiac diagnostics, etc.) or schedule, including blocking schedule for procedure time
Overview Of Responsibilities
- Obtains precertification/prior authorization for all services ordered by provider(s) within the office (radiologic procedures, cardiac diagnostic procedures, laboratory procedures, surgeries, medications, etc.) prior to procedure being performed.
- Enters surgery case request including CPT code(s)
- Enters the prior authorization confirmation information
- Works with central scheduling/surgery scheduling to schedule procedures.
- Scheduling of pre-admission testing.
- Scheduling of post-operative visits.
- Maintenance of the providers practice schedules including blocking time for procedures.
- Rooms patients, records vital signs. (Based on needs of the practice)
- Other duties as assigned by supervisor/manager.
Education & Experience
- Education Required: High School Diploma or Equivalent
- Education Preferred: High School Diploma or Equivalent
- Experience Required: Minimum one-year front office experience
- Experience Preferred: Prior pre-certification / prior authorization experience