Medical Authorization Assistant-Prior Auth

The Judge Group; Orange (CA); On-site; USD 40,000 - 70,000; Full time

Job summary

An established industry player is looking for a detail-oriented Medical Authorization Assistant to join their team in Orange County. In this role, you will be responsible for managing referral requests, authorizing services, and supporting Medical Case Managers. Your expertise in healthcare and strong data entry skills will ensure accurate processing of requests. This is a fantastic opportunity to contribute to a vital area of patient care within a collaborative environment. If you are passionate about healthcare and looking to make a difference, this role is for you.

Qualifications

• 2+ years of experience in a healthcare or managed care setting.
• Strong data entry and communication skills are essential.

Responsibilities

• Receive and enter referral requests into the authorization system.
• Authorize services and verify eligibility according to guidelines.

Skills

Data Entry

Communication Skills

Healthcare Knowledge

Customer Service

Education

High School Diploma

Job description

Our client is currently seeking a Medical Authorization Assistant - Prior Auth in Orange County, CA!

Contract Details:

Duration: 6 months

Schedule: M-F, business hours

Responsibilities:

1. Receive referral requests via fax, phone, or electronically and enter new service request information into the authorization system.
2. Collect additional information from the client's health members and providers to complete referral data.
3. Authorize requested services according to the client's health authorization guidelines, perform data entry into the authorization system, and verify eligibility.
4. Contact health networks and the client's health customer service regarding health network enrollments.
5. Assist Medical Case Managers in gathering medical records, obtaining appropriate coding for diagnoses and procedures, and follow up on phone calls as directed by the authorization nurse.
6. Document all contacts and case information in the system using the standard charting format.
7. Perform data entry into relevant databases for monitoring, tracking, trending events, and other needs.

Qualifications & Requirements:

• High School diploma or equivalent required
• At least 2 years of experience in a healthcare or managed care setting required

If you or anyone you know is interested, please send an updated resume to Emma Davis at [contact information].