Preauthorization Clinical Specialist LPN/RMA/CMA
$36,130–$54,829 year
On-siteKingsport, Tennessee, United States
Kingsport, Tennessee, United StatesOn-siteFull Time$36,130–$54,829 yearHigh School Or EquivalentMedium
Full TimeHigh School Or EquivalentMedium
Job Summary
Obtain authorizations for medications prescribed by physicians by interacting with patients, physicians, and office staff to provide accurate, timely information. Complete insurance requirements using online applications or telephone contact to secure precertification for patient medications. Maintain accurate records of insurance authorization types, document approvals and denials, and ensure strict confidentiality of patient PHI. Assist with other call center activities as assigned while maintaining efficient telephone communication and adhering to standard office policies.
Required Qualifications
- RMA, CMA or LPN
- General understanding of medical terminology
- Familiarity with computers and other office equipment
- Must possess excellent communication and organizational skills
- Ability to work in a team environment and collaborate with others
- Ability to receive detailed information through oral communication
- Ability to make fine distinctions in sounds
- Determine the accuracy, neatness, thoroughness of the work assigned
- Perceive general observations
- Remaining upright on the feet, particularly 75% of the time
- Moving about on foot to accomplish tasks
- Bending body downward and forward by bending spine at the waist and/ or by bending leg and spine
- Extending the hands and arms in any direction
- Exerting force upon an object so that an object moves away/toward the force
- Picking, pinching, typing or otherwise working, primarily with fingers
- Applying pressure to an object with the fingers and palm
- Perform a variety of duties, often changing from one task to another of a different nature
- Perform with frequent interruptions and/ or distractions
- Make appropriate job decisions following standard office policies and past precedents
- Adjust priorities quickly as circumstances dictate
- Ability to establish and maintain cooperative working relationships with co-workers and the public
- Ability to interact appropriately with colleagues and patients for different purposes and different context
- Must be able to remain in a stationary position at least 25% of the time
- Medium work that includes moving objects up to 50 pounds occasionally
- Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips
- Work independently and identify potentially more effective methods of work operations
- Observing an area that can be seen up and down or to right or left while eyes are fixed on a given point
- Ability to identify and distinguish colors
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