Clinic Administrator

Eligibility & Prior Authorization Specialist

Contract: 2-months contract with possible extension

Shift: 08:00 AM – 05:00 PM (Monday-Friday)

Responsibilities

• Manage administrative intake of facilities, provider offices and members.
• Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers.
• Process incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles.
• Assist the clinical staff with setting up documents/triage cases for clinical coverage review.
• Handle resolution/inquiries from members and/or providers.
• This is high volume, customer service environment.
• You’ll need to be efficient, productive and thoroughly deal with our members over the phone.

Software skills: Computer skills – Adobe, Facets, Macess

Interview process: Telephonically

Seniority level: Associate

Employment type: Contract

Job function: Health Care Provider

Industries: Hospitals and Health Care