• Access Ctr Authorization Rep

    Parkview Health (Fort Wayne, IN)


    Summary

    Primary duty is to identify insurances requiring pre-authorization for scheduled procedures, ensuring pre-authorization is obtained. Responsible for accurately documenting pertinent authorization information in all related billing systems. Responsible for benefit verification for identified services and communicating benefit details to requesting department. Requirements include the ability to perform at a high level and multi-task in fast paced environment; excellent communication, attention to detail, problem solving, troubleshooting, and time management skills. Coworker must be able to adapt to constant change and perform in a stressful environment. Coworker is responsible for data integrity in all systems utilized for job functions. Responsible for the delivery of Parkview Health Standards of Behavior, quality performance, and service excellence. Responsible for evaluating each account individually, in a timely manner, to determine the appropriate precertification requirements based on established criteria. This role is key to securing reimbursement and minimizing organizational write-offs by following up on denials and appeals to obtain approval from insurance companies.

    Education

    Must be a high school graduate or the equivalent with GED. Medical terminology preferred.

     

    Licensure/Certification

    N/A

    Experience

    Minimum of two years experience in health care setting, call center, or clerical position, including experience using Microsoft Office applications required. Registration experience preferred. One year insurance pre-authorization experience preferred.

    Other Qualifications

    Must have excellent verbal and written communication skills. Must be able to demonstrate a working knowledge of general computer skills and applications. Demonstrate ability to multi-task and work independently using critical thinking skills.

     

    Why Parkview?

     

    We have everything you’re looking for in a career; great compensation and benefits; skill development and career advancement programs and more. At Parkview, we are committed to providing excellent care to each patient within our clinics and medical practices. The success of this mission begins with care team members like you.

     

    • Benefits: Health benefits, paid time off, employee assistance, community vendor discounts, payroll deduction options

    • Sign-on bonus: For certified and uncertified Medical Assistants, LPN’s, and RN’s hired in part-time and full-time positions.

    • Education: Clinical Orientation, tuition assistance, certification reimbursement

    • Growth: Parkview’s Medical Assistant Advancement Pathway (MAAP)

    • Culture: World-class teamwork, Personalized health journeys for co-workers and family members