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Specialty Testing/Procedure Authorization Coordinator

  • Job ID: 65845842
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Community Medicine Incorporated
  • Department: 57412 MULTI Tri Rivers Admin
  • Location: 7500 Brooktree Road, Wexford PA 15090
  • Union Position: No
  • Salary Range: $14.21 to $21.71 / hour

Description

UPMC Community Medicine Incorporated has an exciting opportunity for a Specialty Testing/Procedure Authorization Coordinator position in the Multi Tri Rivers Administrative department located at 7500 Brooktree Road, Wexford, PA 15090.  This is a full time position Monday through Friday 8:00AM to 4:30PM.

 

The Specialty Testing/Therapy Authorization Coordinator will perform authorizations and coordinates patient ordered specialty testing dates and follow-up.

Responsibilities:

  • Obtains PT referrals as needed for specific carriers for external facilities.
  • Contacts patients regarding authorization and testing and follow-up appointments.
  • Addresses patient messages using proper protocol to conclusion.
  • Works in conjunction with additional Specialty Authorization Team members to assure consistent coverage for patients in regards to authorizing all categories of testing, procedure and medication therapies.
  • Schedules patient testing with specific facilities utilizing hospital/facility protocols and processes.
  • Obtains appropriate insurance authorizations for MRI/CT testing for all insurance carriers.
  • Performs other duties as needed and directed by management, team leader or physician.
  • Observes HIPAA and other privacy practices.

 

Qualifications

  • High School diploma or GED. 
  • One year experience in a similar position. 
  • Medical office experience preferred. 
  • Knowledge of current operating system (Misys) and EMR system (SRS).
  • Knowledge of the Navinet system for health care administration.
  • Knowledge of Microsoft Word and its functions.
  • Knowledge of telephone equipment and its functions (transferring, placing on hold, etc).
  • Knowledge of basic office procedures.
  • Skill in utilizing all above systems to achieve essential job functions.
  • Skill in verbal and written communications.

Licensure, Certifications, and Clearances:

  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

     

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       Current UPMC employees must apply in HR Direct

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