Position Summary: Assist in coordinating the pre-authorization and assistance programs. Provides timely communication to the providers and nursing staff and patients as it relates to insurance guidelines and pre-authorization process. Assists in assessment of patient financial needs. Provides information regarding available patient assistance programs. Assists in the claims denial process for insurance carriers and develops an appropriate appeals response as necessary. Minimum Qualifications: + High School diploma + Preferred: 1 year in a hospital or outpatient clinic setting + Preferred: Previous ICD-10 and CPT coding + Preferred: Previous experience in medical pre-authorization, case management and / or financial counseling Essential Job Functions: + Verifies eligibility and benefit information with insurance companies and communicates with physicians and staff before services are scheduled. + Collaborates with staff and referring clinics regarding pre-authorizations. + Collaborates with staff regarding denials. + Reviews patient assistant program guidelines for potential patient enrollment. + Communicates and collaborates with Clinical Operations Manager. Knowledge, Skills and Abilities + Demonstrates sound judgement, patience, and maintains a professional demeanor at all times + Strong interpersonal, verbal and written communication skills + Creativity, problem analysis and decision making + Ability to work varied shifts + Exercises tact, discretion, sensitivity and maintains confidentiality + Computer applications, MS Office, EMR, internet applications and standard office equipment + Ability to analyze, organize and prioritize work while meeting multiple deadlines + Self-directed, completes assignments accurately, thoroughly and with minimal oversight + Strong emotional intelligence, interpersonal and teamwork skills The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified. 77212050 Patient Access Management