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Role Description

The Prior Authorization/Centralized Scheduler will be the healthcare access representative to patients and/or providers utilizing positive public relations skills when scheduling patient visits or procedures.

• Pre-register patients and schedule appointments using the applicable program
• Obtain authorization and verify medical necessity
• Handle all aspects of the prior authorization process
• Assist healthcare professionals or patients to experience the ideal patient encounter with friendly, courteous assistance and high level of professionalism
• Ensure the accuracy and integrity of patient information and test orders while maintaining a high level of confidentiality

Qualifications

• High School or GED
• Medical Assistant
• Minimum one (1) year medical front office experience, preferably within an acute healthcare system

Requirements

• Organizational skills
• Verbal communication skills
• Interpersonal skills
• Customer relations skills
• Analytical skills
• Grammar and spelling proficiency
• Ability to read and comprehend written instructions
• Ability to follow verbal instructions
• Computer skills - EMR, Data Entry
• Clerical skills

Mental and Emotional Requirements

• Manage stress appropriately
• Make decisions under pressure
• Manage anger/fear/hostility/violence of others appropriately
• Handle multiple priorities
• Work alone
• Work in areas that are confined and/or crowded

Working Conditions

• Exposure to potential electrical shock
• CRT (computer) monitor

Physical Requirements

• Sedentary work
• Prolonged periods of sitting and exert up to 10 lbs of force occasionally