Top 3 Prior authorization specialist Jobs in Okmulgee Ok

Patient Registration Team Lead - Hospital - Okmulgee
Muscogee Creek Nation —Okmulgee, OK
- Management
- Computer literacy
- Windows

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Patient Registration Team Lead - Hospital - Okmulgee

Muscogee Creek Nation -
Okmulgee, OK

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Job Details

Qualifications

In-person patient registration
Customer communication
Patient scheduling systems
Electronic health records (EHR) management
Patient demographics
Client file management
Windows
Medical scheduling
High school diploma or GED
Clinical data entry
Desktop applications
Clinical confidentiality policies
Managing patient records
Medical terminology
File organization
Quality data entry
Office record organization

Full Job Description

MINIMUM QUALIFICATIONS

Education – A High School Diploma or GED equivalent is required. Completion of a program or training in Medical Office Technology or a related field is preferred.

Experience – A minimum of seven (7) year relevant experience is Preferred.

Licenses & Certification –

Knowledge & Skills –

Knowledge of general medical terminology and of the terminology used in the process of billing for medical services.

Knowledge of Electronic Health Record (EHR) system and the ability to correctly enter data into the EHR.

Knowledge of patient scheduling and registration procedures in an ambulatory and non-ambulatory clinic.

Ability to maintain strict confidentiality with regard to patient health information.

Skill in utilizing a personal computer and its applications in a Windows environment and the ability to organize, file and retrieve information.

Ability to communicate courteously and effectively with patients and their families, MCNHD staff and the general public for the purpose of supplying or obtaining information.

Knowledge of third party and other numerous alternate resources used in the billing of medical services.

Ability to maintain a professional demeanor.

JOB SUMMARY

The purpose of this position is to provide leadership, assistance and direction to ensure accurate and completeness of prior authorizations and scheduling, and patient registration. Incumbent interviews patient or patient’s representatives to obtain pertinent data and information for insurance billing purposes, updating records, data entry, etc.

WORK ENVIRONMENT

Work is performed in an ambulatory health care setting. Risk of exposure to infectious disease does exist.

PHYSICAL DEMANDS

Performance of duties requires being seated for long periods of time, entering data and requires the demands of normal office setting.

ESSENTIAL FUNCTIONS

Satisfactory job performance will be determined by successful execution of the following:

Works with insurance companies to obtain necessary prior authorizations as required for services provided.

Maintains a high level of understanding of insurance companies and authorization/referral requirements.

Ensure insurance carrier documentation requirements are met, documented and scanned in patient medical chart as required.

Maintains an approachable and appropriate attitude when interacting with all levels of personnel in a rapidly changing environment.

Interview incoming patients or representatives to include necessary information for obtaining prior authorization for services provided, scheduling, admission or registration.

Explains necessary hospital rules and regulation to incoming patients.

Answers daily inquiries of patients and public in person or via telephone regarding registration procedures, hospital regulations and services. When necessary, refers inquirers to appropriate personnel or department elsewhere in the hospital.

Lead and direct Insurance Authorization and Scheduling Specialist team to ensure accurate and completeness of prior authorizations and scheduling.

Adheres to organization and department values to contribute to the fulfillment of it’s mission.

Regular attendance is required.

Performs other duties as required.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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