Authorizations Specialist- Neurosurgery

role and responsibilities

Assists patients with obtaining authorization and coordinating care per the ordering provider’s direction. Strictly follows all practice policies and procedures, including all HIPAA related policies and procedures.

essential functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

clinic duties:

1. Gathers information needed to complete the pre authorization and scheduling of an order.
2. Obtain prior authorizations from various insurance companies for diagnostics tests and referrals, procedures and medication, etc.
3. Manages/ completes Epic work queues assigned to employee.
4. Relays physician’s instructions as directed. 
5. In Epic, processes patient messages, etc.
6. Processes labs that have been collected in office.
7. Reschedules patient appointments as necessary.
8. Assists in Medical Records with scanning.
9. May also act as a Patient Service Coordinator and/or Surgery scheduler based on clinic need and required certification.
10. Complies with established organizational policies and procedures of WTMF.
11. Other duties as assigned.

other duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

physical demands:

While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. The employee may occasionally lift up to 25 pounds.

qualifications and education requirements

1. High School graduate or GED required.
2. Minimum of 1-2 years preferred experience in a medical office with requesting authorizations

preferred skills

1. Communication proficiency
2. Ethical Conduct
3. Flexibility
4. Initiative
5. Time Management