Position Summary: Responsible for reviewing accessions for tests requiring prior authorization from the insurance company, coordinating with clients and insurance carriers to obtain prior authorizations as needed per coverage. Provides accurate and timely information to supporting CPL departments, clients, patients, and the Accounts Receivable(AR) department. Adheres to departmental policies and procedures to include timely submission and follow-up on pending requests as well as notification of status to appropriate AR department. Able to handle additional delegated work by the leadership team.
Scope: Promotes quality client/patient relations and creates a supportive climate by serving as a role model for other employees. Respects and maintains the confidentiality of laboratory and financial information. Practices and adheres to all company policies and regulations.
Minimum – High School diploma or equivalent (GED)
Preferred – Associates degree in the healthcare related field or laboratory or Medical Assistant training
Minimum – 1 year medical insurance and laboratory experience.
Preferred – 2 years or more of Customer Service experience and Medical or Billing experience.
Skills: Excellent customer service and communication skills. Knowledge of insurance contract/policy. Analytical and problem-solving skills. Ability to cope with varied levels of workload and multiple tasks. Ability to adapt to changing work environment. Able to type at least 35 wpm and have at least an 88% accuracy rate.
Reporting Relationships: Reports to the Customer Service Supervisor, Assistant Supervisor or other designated person.
Physical Demands: Requires sitting or standing for long periods of time in a small cubicle or requires walking for long periods of time within the company. Requires manipulation of tools, objects, and equipment using the following physical motions: pushing, pulling, lifting, reaching above shoulder height, grasping with one hand or both, extensive typing, twisting and reaching. Routinely requires coordination of two or more physical operations. Requires ability to hear audible sounds via headset or telephone handset.
Environmental Demands: Works in a temperature controlled environment. Works in a small, noisy environment. May be required to operate fire and safety equipment or follow other safety procedures in an emergency situation. May be required to work with time constraints and crisis situations.