Prior Authorization Assistant

• Process and documents all incoming inpatient and outpatient prior authorization (PA) requests as outlined by policies and procedures.

• Contacts providers via phone or fax to request additional information or clarification as needed per established process.

• Communicates effectively with customers/providers (both internally and externally) regarding the status of PA requests.

• Enters PA requests into the prior authorization database, prepares documentation, and tasks to the appropriate staff member for clinical review.

• Completes special projects as requested.

1. Previous experience in a clinical environment.

2. Previous experience working in managed health care setting or insurance environment.

3. Knowledge of Medical Terminology.

4. Knowledge of additional Microsoft Office software such as PowerPoint.

All your information will be kept confide

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions:

1. Work hours are from 8:30 a.m. to 5:00 p.m. Any additional hours must be approved by supervisor.

2. Majority of work will be performed at an office desk.

ntial according to EEO guidelines.