PRIOR AUTHORIZATION SPECIALIST
Part Time
Reports to Business Office Manager
POSITION SUMMARY:
Coordinate physician orders and records to obtain authorization from insurance coverage to secure reimbursement for services performed at Cherokee Regional Medical Center.
ANTICIPATED SCHEDULE: 20 Hours per week. Schedule Flexibility.
ESSENTIAL FUNCTIONS:
- Evaluates daily workload to prioritize work appropriately
- Communicates well with insurance companies, nurses and providers to obtain authorization, additional information or documentation as needed to complete the task
- Identifies documentation that may be helpful in securing the authorization
- Answers email, staff messages and voicemail timely
- Continually re-evaluates workload for prioritizing
- Expedites more "urgent" requests for improved patient care
- Communicates authorization outcomes timely and appropriately
- Documents authorization status in health information system
Competitive wage and benefits offered include: paid time off, health, dental and vision insurance, life insurance, short term and long term disability, retirement program, tuition assistance, funeral leave, jury duty, flex spending, EAP, health and wellness program.