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Insurance Pre-Authorization Rep Id-4589

Position Highlights:

 

What you will do:

  • Prepares referrals/FMLA/disability forms per payer criteria for designated providers ensuring timely response to requests and meets established turnaround time.

  • Prepares pre-authorizations and FMLA/disability forms per health care guidelines/established laws for designated providers to build timely approvals/forms completion in order to preserve and generate revenue and maintain patient satisfaction.

  • Prioritizes the processing of referral requests/FMLA disability forms based on medical necessity and/or urgency of the patient case.

  • Communicates status of authorization/FMLA disability forms (approvals, denials, pending) to patients, physicians and other clinical staff.

  • Addresses all tasks, phone calls, voicemail and e-mail within established timeframes and per current department guidelines

  • Collaborates with physicians and staff as well as outside offices to obtain needed information.

  • Establishes, develops and maintains good working relationships with hospital departments, health plan representatives and physician office personnel as well as a high degree of customer service/recovery skills.

  • Maintains patient confidentiality

 

What you will need:

  • Associates Degree Preferred

  • 1 year experience in a medical office setting

  • ​1 year prior Epic experience

  • Detail oriented

  • Ability to multitask and work in a fast paced environment

  • Strong oral and written communication skills

  • Ability to maintain confidentiality

  • High level of understanding of FMLA/Disability laws and processes

  • Medical terminologyBilingual

 

Benefits (For full time or part time positions):

  • Career Pathways to Promote Professional Growth and Development

  • Various Medical, Dental, Pet and Vision options

  • Tuition Reimbursement

  • Free Parking

  • Wellness Program Savings Plan

  • Health Savings Account Options

  • Retirement Options with Company Match

  • Paid Time Off and Holiday Pay

  • Community Involvement Opportunities

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

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