Managed Care Authorization Clerk

Job Description

Job Description

Description :

Essential Duties and Responsibilities :

• Review all authorization forms or requests for accuracy.
• Make corrections as necessary. This may involve calling the Therapist, Intake Receptionist, or other staff.
• Submit the prior authorization forms or requests to the appropriate Managed Care Company.
• Organize and file the prior authorization forms or requests for easy access and for tracking those that are or are not authorized.
• Send the approvals back to the appropriate office via email or eFax.
• Correct and / or trouble shoot all prior authorization forms or requests that are not approved. This may involve calling the Therapist, Intake Receptionist, or other staff.
• Resubmit prior authorization forms or requests as necessary.
• Entering data into the computer may be necessary.
• Must maintain confidentiality of sensitive information.
• Other duties may be assigned as needed.

Requirements :

Qualifications Include : High School Diploma or GED; Computer and typing skills; Organization skills; Submitting to and passing successfully a criminal records check and a drug screening test.

Hours : Monday through Friday, 8 : 00 am until 4 : 30 pm. Different hours may be required with the job or may be adjusted by Supervisor.

Required Job Skills :

Physical Demands and Work Environment :

Required Job Performance :