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Authorization Specialist

  • Job ID: 596747366
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Monday - Friday daylight shifts
  • 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: $15.30 to $23.36 / hour

Description

Purpose:
UPMC Tri Rivers is hiring full-time authorization specialist for special testing and physical therapy for the Wexford office. Performs 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

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   Current UPMC employees must apply in HR Direct