Hours: Part Time – 24 HPW
- Flexible schedule – 3, 8 hour days (Office is open 8-5)
Pay: $22 – $25/hr
Job Description:
- Looking for someone to train/help and eventually take over ownership of the role handing prior authorizations for medications
- MA by trade is a preferred but not required
- Request, track, and obtain prior auths from insurance carriers/third party auth companies within a reasonable timeframe
- Contact insurance carriers to verify patient’s insurance benefits and requirements specific to the requested procedures
- Follow up with insurance carriers/third party auth companies prior to servies being performed to secure authorization
- Work closely with referring physicians to obtain necessary data needed to submit for prior auth
- Daily completion of Mass Health insurance checks and verification of eligibility with insurance department for any commercial insurance coverage changes.
- Answers the phone, provides information and directs calls to the appropriate areas.
- Assists in department-wide initiatives for improved medication prescribing, such as preferred medications, medication recalls or alerts, medication formulation changes.
- Performs all job functions in compliance with applicable federal, state, hospital policies and procedures.
- Handles confidential information in compliance with HIPAA guidelines.
Qualifications:
- High school diploma or equivalent required. College preferred.
- Proficient in Office 365 and Medical EMR programs; LYTEC a plus
- Previous Medical Receptionist experience including Mass Health Insurance verification.
- Successful completion of a Medical Assistant training program preferred