Job Title: Medical Authorization Assistant - Remote | WFH

Hourly Rate: \(23.92 - \)33.48/hr Compensation will be determined by the client based on experience and their internal pay scale.

Overview: Join a prestigious healthcare organization as a Medical Authorization Assistant, where you will play a critical role in supporting our inpatient Medical Case Managers. This remote position allows you to contribute to the efficiency of healthcare operations while ensuring top-tier service quality and accountability.

Key Responsibilities:

• Process inpatient requests received via fax, phone, or electronically, entering new case data into the medical management system.
• Create inpatient events based on clinical information and facility face sheets.
• Verify member eligibility and gather necessary data from members, providers, or facilities to complete service reviews.
• Authorize requested services in accordance with established guidelines.
• Act as a liaison with health networks and the Customer Service department regarding enrollments.
• Assist Medical Case Managers in obtaining medical records, coding for diagnoses and procedures, and conducting follow-up communications.
• Document all contacts and case information consistently using standard charting formats.
• Enter data into relevant databases for the monitoring and tracking of inpatient events.
• Collaborate with team members to achieve departmental objectives and take on additional projects as assigned.

Required Skills:

• Ability to build and maintain effective working relationships with diverse individuals at all levels.
• Strong independent work ethic with sound judgment.
• Excellent verbal and written communication skills.
• Adaptability to a flexible schedule, including evenings and weekends.
• Strong organizational and analytical skills with problem-solving abilities.
• Capability to thrive in a fast-paced environment and motivate team collaboration.
• Proficiency in computer software applications (e.g., Microsoft Office) and job-specific systems.

Qualifications:

• High School diploma or equivalent.
• A minimum of 2 years of experience in healthcare or managed care settings.
• An equivalent combination of education and experience that enables successful job performance.

Career Growth Opportunities: This position offers valuable exposure to the healthcare field, with opportunities to enhance your expertise in medical authorization and case management, potentially leading to upward mobility within the organization.

Company Culture and Values: Our organization prioritizes a culture of excellence, emphasizing customer service, dignity, and accountability. Join a collaborative team committed to supporting each other and delivering high-quality healthcare services.

Compensation and Benefits:

• Competitive hourly rate based on experience, ranging from \(23.92 to \)33.48/hr.

Take the next step in your career while making a meaningful impact in healthcare. Apply today to become an essential part of our team.