Prior Authorization/Referral Clerk

Job Description

Job Description

Position Summary:

Responsibilities include completing proper forms, paperwork, and submitting back up documentation to obtain Pre authorizations and referrals. Employees will provide a variety of services to maintain the day-to-day operations of the department.

Requirements

Education:

High School Diploma or equivalent.

Licensure/Certification:

Current CPR Certification required or obtain within 30-90 days of hire.

Experience:

Previous knowledge of all types of insurances and exposure to computer programs.

Job Knowledge & Skills:

Must be able to quickly learn skill sets necessary to perform required duties. Computer literate, demonstrating ability to use computer programs including Microsoft Office. Familiar with daily routine of office work. Familiar with provider schedules. Must be able to work under pressure. Mathematical skills. Excellent communication skills. Ability to communicate clearly both verbally and in writing. Works effectively with others. Maintain confidentiality. Adheres to established hospital policies and procedures.

Employment Requirements:

To apply, please fill out an application, attach a cover letter, and resume. Include gaps in employment and reasons for separation.

Applicants must be legally authorized to work in the United States.

Subject to satisfactory adjudication of background investigation and/or fingerprint check.

Successful completion of 500-hour probationary period.

Criminal background check and pre-employment drug screen required upon conditional job offer.

Disclaimer:

If claiming veteran's preference, you must submit a DD214, Certificate of Release from Active Duty, which shows dates of service and discharge under honorable conditions. If currently on active-duty you must submit a certification of expected discharge or release from active-duty service under honorable conditions not later than 120 days after the date the certification is submitted. Veteran's preference must be verified prior to appointment. Without this documentation, you will not receive veteran's preference and your application will be evaluated based on the material(s) submitted.

If claiming 10-point veteran's preference you must provide the DD214 or certification requirements (see above bullet), plus the proof of entitlement of this. Failure to submit these documents could result in the determination that there is insufficient documentation to support your claim for 10-point preference.

Lake Health District is an equal opportunity employer and, as such, considers individuals for employment according to their abilities and performance. Employment decisions are made without regard to race, age, religion, color, sex, national origin, physical or mental disability, marital or veteran status, sexual orientation, genetic information or any other classification protected by law. All employment requirements mandated by local, state, and federal regulations will be observed.