Job Summary
The Authorization CSR I primary responsibility is customer service and information intake. General duties include gathering information and documents, maintaining a high level of customer service, and creating a complete report for each call. Employee will need to complete position responsibilities by following established guidelines and protocols within the appropriate time frame, and have a sense of urgency while completing tasks in an efficient, professional manner. Employee will be in a phone queue, taking calls from a variety of people and ensuring quick and compassionate service. Must exhibit excellent phone etiquette, including grammar and ideal customer service skills. This position involves discretion and independent action. Employee should have the ability to work independently and self-efficiently in a team setting.
Responsibilities
- Answering phones for authorization appointment scheduling, answering questions, taking messages and forwarding calls as applicable
- Communicating with facilities for obtaining face sheets, Medical Necessity *(PCS) or other clinical information required/missing for non-emergent runs
- Communicating with patients/facilities/case managers etc. - regarding required documentation prior to scheduling transports/appointments
- Calculating and processing PRIVATE PAY runs which must have payment prior to scheduling
- Answering/addressing emails sent by Dispatch for questions or requests and ensuring appropriate communication with Dispatch and other applicable departments
- Uploading/working applicable non-emergent runs from the prior and current day
- Verify patient Insurance to ensure coverage of requested for appointments/prescheduled services – MUST appropriately recognize/identify patient insurances and be able to verify accurately with appropriate portal
- Noting accounts clearly and effectively regarding payer information, trip details, contact info, etc.
- Follow up communication with facilities/families regarding transports that have not been able to be finalized due to missing requirements
- Follow HIPAA guidelines at all times
Skill Sets Required:
- Must exhibit excellent communication skills, both verbal and written as well as proficient typing skills. ALWAYS BE PROFESSIONAL
- An excellent working knowledge of Excel and/or Microsoft office and Google Docs
- This position requires a positive attitude and personable demeanor
- Excellent time management and organizational skills with special attention to detail.
- Insurance verification and web portal knowledge
- Basic medical terminology and understanding
Education and Experience
- High school diploma or GED required
- Minimum 1 year of experience in Insurance Verification
- Job Type: Full-timeWork
- Location: Office
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: Remote
