JOB SUMMARY:

This non-clinical position supports the department by performing a broad range of clerical duties.

KEY RESPONSIBILITIES:

• Prepares correspondence to members, providers, and facilities.
• Provides follow up with providers and members as needed.
• Reviews service requests for completeness of information.
• Enters information into the database, compiles data and runs reports.
• Receives telephone calls, answers non-clinical questions and takes information, or refers callers to appropriate parties.
• Investigates and researches calls from members, physician offices, ancillary vendors, and facilities to facilitate the authorization process.
• Duties and responsibilities of this role are clerical in nature and are not involved in in the interpretation of clinical information or evaluations.
• Performs other duties as assigned.

QUALIFICATIONS:

• Possess strong oral and written communication skills.
• Successful completion of Health Care Sanctions background check.
• Ability to reason logically and to use good judgment when interpreting materials or situations.
• Ability to organize time effectively and set priorities.
• Basic knowledge of medical terminology.
• Proficient in Microsoft applications.

EDUCATION/EXPERIENCE:

• High School Diploma or equivalent.
• Two years related work experience in medical, insurance or doctor’s office environment preferred.
• Successful completion of college level education in health-related field may be applied in lieu of work experience.