Pre-Authorization Specialist - Pain Clinic | Part-Time, Shifts Vary

Job description

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri. No matter where you start with us, we’re committed to taking our team to the top. If you’re ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family. General Summary: - The Pre-Authorization Specialist performs assigned duties, including telephonic support for on-line authorization of routine services, contacting specialty care providers, monitoring patient eligibility, and performing on-line data entry of routine authorizations/denials. Essential Duties and Responsibilities: - Performs telephonic support for on-line authorization of routine services. - Provides direct support to primary care providers regarding utilization, authorization, and referral activities. - Proficient in the use of ICD-9 and CPT codes. - Gathers the proper information needed for coordinators/case managers to determine continued authorization. - Provides data entry for care which has been arranged by the Pre-Authorization Coordinators. - Contacts providers with authorization, denial and appeals process information. - Ma...