Prior Authorization Assistant

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.

Prior Authorization Assistant

Job Description

Prior Authorization Assistant is responsible to obtain prior authorization for diagnostic exams and procedures when required by the patient’s health insurance company. The Assistant routinely communicates and collaborates with patients, insurance companies, other departments, and healthcare providers.

Department: Medical Oncology

Hours: Full-time, 40 hours/wwek

Required: High School Diploma

Pay: Based on experience, starting at $16.94

Responsibilities

Assists with other tasks to support patients or team members., Maintains up-to-date knowledge of diagnostic exams and procedures ordered by healthcare providers., Notifies the ordering healthcare provider and patient if authorization is denied and works to help resolve the denial in an effort to gain approval., Obtains current patient demographics and insurance benefits from Registration., Requests authorization after medications / procedures have been provided when needed., Responsible for contacting patients' insurance companies to obtain prior authorization (if required) for diagnostic exams and / or prcedures ordered by the healthcare provider., Serves as a customer service representative and liaison among patient, insurance company, and medical staff., Works closely with the healthcare provider's office nurse to ensure proper authorization is obtained. Collects insurance benefit information, sends supporting medical records, and provides benefits of medication and/or procedures ordered.

Requirements

High School (Required)

Compensation

Estimated Compensation Range

$16.94 - $26.26

Pay based on experience