Job Detail

Job Description

Medica Talent Group is excited to share this temporary opportunity with you!

Our client, a reputable health care organization in Orange County is seeking a Medical Authorization Assistant to join their growing team. This is a temporary position with the opportunity to become a full-time permanent role!

Location: Anaheim, CA

Salary: $18.00 per hour
Schedule: Monday-Friday 8AM - 5PM

Job description
Under the supervision of the Quality Improvement Team Leader, the Medical Authorization Assistant is responsible for all aspects of the authorization process. Responsibilities include collecting all necessary documentation, contacting the referring provider office for additional information, and completion of the required prior authorization form to proceed with the request. The Medical Authorization Assistant will work closely with the clinical staff, claims, and billing departments.

Essential Job Functions

• Must display excellent communication, organization, and follow-up skills with the ability to handle multiple assignments simultaneously. In addition, demonstrates good judgment as well as attention to detail.
• Timely completion for all prior and retro authorization requests.
• Proactively manages and maintains all authorization requests to ensure billing of clean claims.
• Provide outstanding customer service to participants and develop and maintain positive working relationships with internal and other external customers.
• Identify and report trends and prior authorization issues relating to billing and reimbursement.
• Responsible for documenting authorization status and demonstrating proficiencies with software systems and electronic health records. Identifies prior authorization trends and/or issues resulting in delayed processing.
• Verify prior authorizations and/or pre-service requirements are met.