FT Prior Authorization Tech

FT Prior Authorization Tech job in Albuquerque, NM

Shift: 1st - Day
Schedule: Full Time

You’re going to LOVE Lovelace!

Lovelace Medical Group: Lovelace Medical Group providers are known for their commitment to quality and delivery of compassionate health care. We are comprised of experienced, skilled providers who embrace advanced medical care. Lovelace Medical Group, including Southwest Medical Associates, is committed to delivering team-based, coordinated medical care in a cost-effective environment to communities served by our hospitals and health plans to ensure patients received the best care possible.

Lovelace Medical Group is now hiring a Prior Authorization Tech.

  • The Prior Authorization Tech provides telephone triage, data entry and assistance to the Health Services Department in order to ensure quality customer service and exceptional quality management; receives, screens, manages, resolves and/or transfers calls; assists callers with questions and concerns. 
  • Adheres to policies, procedures and regulations to ensure compliance and patient safety.
  • Meets departmental goals for authorization entry accuracy.  Enters authorization and recertification requests with accuracy to include: eligibility, provider status and benefit interpretations.
  • Meets departmental goals for productivity in taking phone calls and entering authorization requests.
  • Meets departmental goals for customer service answering calls within 30 seconds and maintaining a low abandonment rate.
  • Meets departmental goals for turnaround times for urgent and standard authorizations and recertification.
  • Takes ownership of assignments; other duties as assigned or requested.
  • Communicates and listens effectively with internal and external customers; effectively understands instructions and shares knowledge.
  • Cooperates and interacts with supervisors, peers, other departments, and all customer groups demonstrating our commitment to “service”

Qualifications:

  • Minimum:  High School Diploma; GED
  • Desired:  Certified Medical Assistant
  • Technical/Formal Training Computer training (Word/Excel), Medical Terminology, working knowledge of CPT, HCPC, ICD-9 codes, and ACD telephone system
  • Ability to communicate effectively, maintain confidentiality; Ability to maintain consistency and accuracy:  Work independently or as an effective team member; Excellent interpersonal skills; Basic computer and typing skills.
  • Experience Minimum: 2 yrs experience in direct patient care at a medical office or facility.
  • Preferred: 5 yrs experience in direct patient care at a medical office or facility and/or 2-5 yrs with a managed care organization

Why Lovelace?

      Named one of the 150 Great Places to Work in Healthcare by Becker’s Hospital Review

      Named one of the Best Places to Work by Albuquerque Business First

      Named Top Workplace by Albuquerque Journal, 2013,    2014 and 2015

      Named to Modern Healthcare’s 100 Best Places to Work five times since 2008


Department / Location

NEUROLOGY CLINIC
Lovelace Medical Group - Albuquerque, NM