Overview
*Havasu Regional Medical Center*
Who We Are:
*People are our passion and purpose.*Come work where you are appreciated for who you are not just what you can do. Havasu Regional Medical Center is a 171-bed hospital that offers a broad scope of services in major medical disciplines. A medical staff of more than 33 affiliated physicians represents a broad cross-section of expertise in 31 medical specialties.
Where We Are:
Lake Havasu City has earned the reputation as the outdoor recreation mecca of the southwest. Blessed by an ideal climate, captivating scenery, beautiful yet rugged mountains, tranquil desert and the azure waters of the Colorado River, Lake Havasu’s 45-mile-long lake is an oasis of natural beauty.
Why Choose Us:
· Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
· Competitive Paid Time Off / Extended Illness Bank package for full-time employees
· Employee Assistance Program – mental, physical, and financial wellness assistance
· Tuition Reimbursement/Assistance for qualified applicants
· Professional Development and Growth Opportunities
· And much more…
Position Summary:
The Prior Authorization Representative reviews all orders to ensure completeness and accuracy. In addition, they will obtain and/or confirm authorization is in place for all procedures via the scheduling process.
Reports to:
FLSA: non-exempt
Minimum Qualifications:
• Obtain andor confirm authorization is obtained for all orders. Confirm authorization is applicable to the facility where the patient will be seen. Ensure ordering provider is the provider on the authorization as well as the facility.
• Review orders to ensure ICD10 is applicable, and CPT code matches services ordered. Review for labs required or additional information is needed. Communicate with physician offices of the need for additional information.
• Upload documents to messaging center to inform patients of pending orders
• Document all activity in billingcollection system and order management software. Scans, attaches, reviews and effectively works with electronic images as part of the authorization process. Including recording the required information from attachments into the authorization fields
• Adheres to company HIPAA policies and procedures. Identifying, maintaining and protecting sensitive HIPAA information (PHI) and following procedures to ensure the security of such information
• Practice and adhere to the “Code of Conduct” philosophy and “mission and Value Statement”
• Other duties as assigned
Drag Edit Delete
Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position. This position description does not restrict the right of management to assign or reassign duties and responsibilities with and without notice.
EEOC Statement:
Havasu Regional Medical Center is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.
**Job:** **Administration/Clerical*
**Organization:** **Havasu Regional Medical Center*
**Title:** *Prior Authorization Rep – FT*
**Location:** *Arizona-Lake Havasu City*
**Requisition ID:** *7430-7239*
