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Pre-Authorization Clerk
The Pre-authorization Clerk will be responsible for assisting Laboratory and Radiology departments with pre-authorizations for patient’s procedures and tests. The Pre-Authorization Clerk will communicate with patients and insurance companies to ensure ordered procedures and tests are allowable within the patients’ insurance plans. They will be responsible for scheduling ordered procedures and tests and registering patients upon arrival for these departments. The clerk maybe the first point of contact for patients; therefore, they are expected to be kind, courteous and professional in all interactions.

MINIMUM QUALIFICATION STANDARDS:

Education: High School Diploma or equivalent

Licensure: None Required

Work Experience: 1-2 years in a medical office setting, preferred

Freedom from illegal use of drugs, and freedom from use and effects of use of drugs and alcohol in the workplace.

Persons who have been found guilty by a court of law of abusing, neglecting or mistreating individuals in a health care related setting are ineligible for employment in this position.

SKILLS AND KNOWLEDGE REQUIREMENTS:

• Knowledge and education of HIPPA regulations
• Ability to answer the telephone and converse in a professional manner
• Internet, email, MS Office, and data entry skills
• Able to understand medical terminology
• Organization and Scheduling
• Team oriented
• Strong verbal and written communication skills
• Creating a safe, welcoming, and efficient environment
• Experience with electronic medical records
• Excellent Customer Services skills

BEHAVIORAL REQUIREMENTS:

Promote facility mission, vision and values through daily work assignments; communications with co-workers, patients and families; practice accountability in work product; and advocate for higher quality of care.

Must possess a team-oriented attitude and adhere to a continued willingness to implement new systems of operation when changes are required to promote patient and facility health, safety and satisfaction.

Will engage every customer encounter with a high degree of service excellence focusing on creating a welcoming environment, anticipating customer needs and providing excellent communication at all levels of the encounter to help the customer feel at ease, informed and confident in the care received.

Ability to work independently and manage multiple projects and activities simultaneously. Must be able to prioritize projects and handle change productively when assigned additional tasks/projects.

Conduct self in a professional, courteous manner with co-workers, staff and the public in order to maintain a cooperative relationship among the healthcare teams. Must adhere to a philosophy and culture of teamwork and cooperation at all times.

ESSENTIAL JOB FUNCTIONS:

Ability to build good working habits and relationships among patients as well as other departmental staff. Employee must demonstrate professionalism and competence when communicating with insurance companies.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.

Provides all customers with an excellent service experience while maintaining confidentiality and financial information and demonstrating knowledge of and respect for the rights, dignity, and individuality of each patient in all interactions.

Scheduling and keeping appointments on schedule through patient reminders and notifying department personnel of patients’ arrival.

Complete all insurance pre-authorization requirements prior to patients’ scheduled appointments and notifying patient and department personnel of any delays in the process.

Ability to use Electronic Medical Record efficiently to extract necessary diagnosis codes and physician orders from the record to complete the pre-authorization process per each individual insurance company requirements.

Optimizes patients’ satisfaction, department’s time and utilization by prioritizing tasks based on scheduling.

Welcomes patients or visitors by greeting in person or on the phone in a positive manner.

Register patients for visits upon arrival in a timely and efficient manner.

Comfort patients by anticipating patients’ anxieties; answering questions; staying calm and reassuring patients during schedule delays due to emergency room patients.

Maintain accurate and up to date medical records by inputting or scanning necessary documentation into patients’ electronic medical record.

Contributes to team effort by accomplishing related results, as needed.

Maintains operations by following policies and procedures; reporting changes, as needed.

Maintain waiting and reception areas.

Performs other duties as assigned.

Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others.

Additional Information
Position Type : Full Time
Shift : Day

Contact Information
South Big Horn County Hospital District
388 South US Highway 20
Basin, WY 82410
Email: ceo.sbhch@southbighornhospital.com
Phone: 307-568-3311

Click Here to fill out our official online application.

Every Wednesday

7:00 am to 9:00 am


A

HEALTHIER

YOU!


Reduced Lab Tests
Payment for lab work is required at the time of appointment
Every Wednesday from 7:00am-9:00am

No Appointment Necessary

Questions call (307) 568-3311



Make sure to drink plenty of water the night before your lab draw and take your regularly scheduled medication.

The patient is responsible for getting a copy of the lab results to their provider.

See the banner above for the type of lab tests

Sarah Watt, PA-C ~ Physician Assistants

OUR COMMITMENT TO YOU

*We will be recognized as a premier healthcare provider by striving:
*To provide the highest possible quality of healthcare services in a professional way within the framework of every available and reasonable resource.
*To utilize creative and innovative ways to provide for the healthcare needs of the community.


Questions or Comments
Please email CEO.SBHCH@southbighornhospital.com

Please contact The IT department at 307-568-3311 or email support@southbighornhospital.com