Description:

General Summary

1. The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and their office staff by obtaining facility authorizations for patients scheduled at the practice.
2. The Prior Authorization Specialist is responsible for reviewing prior authorization requests and following and established process.
3. This position manages a high call volume of prior authorization services.
4. The position reviews schedules with multiple patient's appointments, verifies or obtains authorization and document authorization information.
5. Communicate authorizations and denials to ordering physicians.
6. Keep records of schedules and authorization requests.
7. The person who fills this position is required to maintain a working knowledge of Managed Care Contracts as well as insurance requirements for authorizations, notifications or referrals.

2403036455 Minimum Qualifications Full Time

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.

Tenet participates in the E-Verify and Work Opportunity Tax Credit (WOTC) programs. Follow the links below for additional information.

E-Verify: http://www.uscis.gov/e-verify
WOTC: https://www.doleta.gov/business/incentives/opptax