Hybrid Prior Auth Specialist/Clinic Float

Sullivan County Community Hospital; Sullivan (IN); Hybrid; USD 42,000 - 56,000; Full time

Job summary

Sullivan County Community Hospital in Sullivan, IN is seeking a Hybrid Prior Auth Specialist/Clinic Float to support medication prior authorizations and clinical staffing. The role combines in-clinic duties with remote work after a 90-day probation, requiring Medical Assistant certification or Nursing licensure in Indiana, CPR, and strong communication.

Hybrid position with in-clinic time and remote work time at the discretion of the RN Clinical Manager after probation; private workspace for

Qualifications

• Graduate from an accredited Medical Assistant program or approved nursing program.
• Knowledge of practice operations.
• Clinical experience and knowledge of medications.
• Commitment to cross training assigned tasks.
• Commitment to customer satisfaction in responding to patient inquiries.
• Ability to use office equipment.
• Ability to adapt to changes in procedures and 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.

Responsibilities

• 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.
• Responds promptly to patient needs; facilitates professional resolutions.
• Works with Clinical Supervisor to provide requested information 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.

Skills

Knowledge of practice operations

Clinical experience

Knowledge of medications

Cross training

Customer satisfaction

Office equipment

Adapt to changes

Written and oral communications

Independent work

Work under pressure

Concentration

Education

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

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

3 days ago Requisition ID: 1570

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