Authorization Representative Job at University of Nebraska Medical Center
University of Nebraska Medical Center Omaha, NE
$16.97 - $25.48 an hour
Department MMI Patient Information Office 50000688 Business Unit Munroe-Meyer Institute Reg-Temp Full-Time Regular Work Schedule Monday - Friday; 8:00AM - 5:00PM, Hours May Vary Remote/Telecommuting Yes – partial remote/telecommute opportunity Position Summary
POSTING FOR UNMC EMPLOYEES ONLY
Ensures that all clinical services scheduled at Munroe-Meyer Institute (MMI) have appropriate demographics and insurance updated in EPIC. Ensures that insurance accounts are built accurately and that all clinical services are properly authorized. Verifies eligibility, pre-determination and pre-authorization requirements for all clinical services at MMI. Additionally, works with providers to ensure completion of all authorization paperwork as well as identifying trends in patient service needs and communicate these clinical needs to directors.
Position Details
Ensures that all clinical services scheduled at Munroe-Meyer Institute (MMI) have appropriate demographics and insurance updated in EPIC. Ensures that insurance accounts are built accurately and that all clinical services are properly authorized. Verifies eligibility, pre-determination and pre-authorization requirements for all clinical services at MMI. Additionally, works with providers to ensure completion of all authorization paperwork as well as identifying trends in patient service needs and communicate these clinical needs to directors.
Additional Information
Posting Category Operations Working Title Scheduling & Authorization Representative (Posting for UNMC Employees Only) Job Title Admin Bus Op Associate (Clk) Salary Grade AB13H Appointment Type C2 - REG OFF/SERV HRLY Salary Range $16.971 - $25.481/hourly Job Requisition Begin Date 05/16/2023 Application Review Date 05/24/2023 Review Date Information:
Initial application review will begin on the date provided in the field above. Applications received prior to this review date will be considered. Applications received after the review date may be considered.
Required and Preferred Qualifications
Required Education:
High School education or equivalent
If any degree major/training is required, please specify the type. (NOTE: Concentration and minors are not equivalent to a major)
(Will consider three years related post high school education/experience)
Required Experience
3 years
If any experience is required, please specify what kind of experience:
General office support experience of which one year must include experience in clinical scheduling, intake, referral coordination or related in a healthcare setting.
(Will consider three years related post high school education/experience)
(Will consider three years related post high school education/experience)
Required License
No
If yes, what is the required licensure/certification?
Required Computer Applications:
Microsoft Outlook
Required Other Computer Applications:
Required Additional Knowledge, Skills and Abilities:
Knowledge of scheduling health care services. Ability to utilize clinical scheduling software.
Demonstrated organizational skills with the ability to work independently and to prioritize workload and set deadlines
Strong communication skills necessary. Must be able to interface in a professional manner with individuals at all levels.
Strong customer focus skills essential. Ability to communicate with people in a supportive capacity, and must be able to identify & triage health care needs.
Knowledge of Medicare, Medicaid and Third Party Insurance billing protocols and pre-authorization guidelines.
Familiarity with medical billing such as CPT , HCPCS, ICD9 coding.
Ability to handle confidential matters discreetly.
Demonstrated organizational skills with the ability to work independently and to prioritize workload and set deadlines
Strong communication skills necessary. Must be able to interface in a professional manner with individuals at all levels.
Strong customer focus skills essential. Ability to communicate with people in a supportive capacity, and must be able to identify & triage health care needs.
Knowledge of Medicare, Medicaid and Third Party Insurance billing protocols and pre-authorization guidelines.
Familiarity with medical billing such as CPT , HCPCS, ICD9 coding.
Ability to handle confidential matters discreetly.
Preferred Education:
Relevant coursework/specialized training
If any degree/training is preferred, please specify the type:
Post high school education with course work in business.
Preferred Experience:
Experience in health care service delivery coordination, and clinic scheduling
Preferred License:
No
If yes, what is the preferred licensure/certification?:
Preferred Computer Applications:
Microsoft Access, Microsoft Excel, Microsoft Word, Microsoft PowerPoint
Preferred Other Computer Applications:
EPIC, Other clinical Scheduling software
Preferred Additional Knowledge, Skills and Abilities:
Knowledge of EPIC desirable.
Preferred experience working with persons with disabilities, and interdisciplinary care teams.
Preferred experience working with persons with disabilities, and interdisciplinary care teams.
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https://unmc.peopleadmin.com/postings/79660
EEO Statement
EEO Statement
EEO Statement
The University of Nebraska Medical Center (UNMC) is committed to creating a diverse and inclusive work and learning environment free from discrimination and harassment. UNMC is dedicated to creating an environment where everyone feels valued, respected and included. UNMC does not discriminate based on race, color, ethnicity, national origin, sex, pregnancy, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, marital status, and/or political affiliation in its programs, activities, or employment. UNMC complies with all local, state and federal laws prohibiting discrimination, including Title IX, which prohibits discrimination on the basis of sex.
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