Hybrid Prior Auth Specialist/Clinic Float

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 Patient Representative Duties 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 Answers prior authorization questions 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 Performs other duties as assigned Full time/Day shift 64 hours/Biweekly