Preauthorization Center Specialist - Pre-Cert Division

Position Description:
Schedule: Monday-Friday 8:30a-5:00pm
Location: Remote

The Preauthorization Specialist will perform more complex authorization tasks for outpatient visits and procedures, and outpatient diagnostic services, and may serve as a mentor and first-pass escalation for the Preauthorization Associate and Representative roles. Typical duties of the Preauthorization Specialist include good communication skills, both written and verbal, along with good active listening skills. Ability to work well in a team setting and a high level of understanding of the team’s services and goals.  The Preauthorization Specialist will be highly encouraged to complete the professional growth and competency program assigned to this position to develop the skills and knowledge to advance to the Preauthorization Lead Specialist position within one year of starting position.

Ambulatory Access Services includes but is not limited to, medical record and encounter creation, registration, appointment scheduling, insurance verification, pre-authorization, communication of patient responsibility, and other pre-arrival activities in both an ambulatory and hospital setting.

This position is 100% remote
Employee must provide:
• High speed internet access
• Dedicated, secure and safe workspace
• Noise-free environment

Benefits include: 100% tuition assistance, wellness initiatives, generous paid time off, paid parental leave, Public Service Loan Forgiveness Program eligible employer, plus more. In addition to our many benefits and perks, UAB Medicine provides a variety of resources to support employees both personally and professionally.

Position Requirements:
EDUCATION AND EXPERIENCE:
Required:  High School diploma or equivalent. Minimum of two years’ registration, insurance verification, authorizations or related experience.

Preferred:  Customer service or related experience.

LICENSE, CERTIFICATION AND/OR REGISTRATION:
Required:  None

KEY JOB RESPONSIBILITIES:
• Accurately reviews database listing clinic procedures requiring pre-certifications and/authorizations
• Reviews database or report daily or at assigned intervals
• Investigates details of individual patients insurance
• Performs routine tasks with minimal direction
• Consistently complete assigned duties within designated timeframe
• Monitor emails daily
• Report any and all issues to leadership
• Meets productivity and accuracy standards
• Other duties as assigned
• Will serve as mentor to Preauthorization Representative and Associate
• Serves as back-up to Preauthorization Representative and Associate in their absence

TRAITS & SKILLS: Must be self-directed / self-motivated; must have good communication and interpersonal skills.  Must be able to: (1) perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure; (2) accept responsibility for the direction, control and planning of an one’s own work; (3) work independently; (4) recognize the rights and responsibilities of patient confidentiality; (5) relate to others in a manner which creates a sense of teamwork and cooperation; (6) communicate effectively; (7) exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment; (8) demonstrate the quality work ethic of doing the right thing the right way