Hybrid Prior Auth Specialist/Clinic Float

Sullivan County Community Hospital; New York (NY); Hybrid; USD 52,000 - 68,000; Full time

Job summary

Sullivan County Community Hospital in Sullivan, IN is seeking a Hybrid Prior Auth Specialist/Clinic Float to support clinic operations and hospital workflows.

The role blends in-clinic duties with remote work after a 90-day in-clinic probation. Must have Medical Assistant program or nursing licensure and CPR, plus strong communication and patient-service orientation.

Qualifications

• Graduate from an accredited Medical Assistant Program or approved School of Nursing.
• Medical Assistant certification or Nursing Licensure in the State of Indiana.
• CPR certification.

Responsibilities

• Responsible for prior authorizations for medications.
• Process prior authorizations accurately and timely; perform appeals as needed.
• Back up hospital medication prior authorizations if needed.
• Respond promptly to patient needs with professional resolutions.

Skills

Practice operations

Clinical experience

Medication knowledge

Cross training

Customer service

Office equipment

Adapt to change

Communication skills

Independent work

Work under pressure

Concentration

Education

Medical Assistant program

Nursing licensure

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Hybrid Prior Auth Specialist/Clinic Float

Full Time Clerical Sullivan, IN, US

QUALIFICATIONS

Education

• Graduate from an accredited Medical Assistant Program or an approved School of Nursing.

Experience/Skills

• Knowledge of practice operations
• Clinical experience
• Knowledge of medications
• Commitment to “cross training” assigned tasks
• Commitment to customer satisfaction in responding to all patient/customer inquiries (internal customers)
• Ability to use office equipment
• Ability to adapt to changes in procedures and/or workload
• Excellent written and oral communications skills
• Ability to work independently with little supervision
• Ability to work under pressure with time constraints
• Ability to concentrate

Required Licenses/Certifications

• Medical Assistant certification or Nursing Licensure in the State of Indiana
• CPR

Working Conditions

• Clean, well-lit, well-ventilated general office working environment
• Hybrid position; utilizing in-clinic time and remote work time at the discretion of the RN Clinical Manager after 90 days of in-clinic probation.
• Must have private, dedicated work space to work in remote environment.

ROUTINE RESPONSIBILITIES

Behavioral Standards

• Consistently complies with established Behavioral Expectations
• Responsible for prior authorizations for medications.
• Responsible for accurate and timely processing of prior authorizations, perform appeals as necessary, and the ultimate resolution of each case as assigned.
• Back up to hospital medication prior authorizations if needed.

Service

• Responds promptly to patient needs
• Facilitates professional/empathetic resolutions for patients

Clinical Staff

• Works with Clinical Supervisor to provide requested information needed for projects
• Will fill in as float or phone nurse in clinical schedule when deemed necessary by management
• Maintains/meets all Clinical skills/duties required by SCCH Clinics as an employee