Pre Authorization Clerk

Surgery Pre-Authorization 

Job Summary: Obtain authorizations for multiple physicians and all Insurances for Surgeries, DME or Injections. This includes gathering medical records, answering insurance company’s questions to get approval and requires basic insurance knowledge.

Essential Functions and Responsibilities: 

• Reaches out to insurance via phone, fax, or website to work authorization.

• Authorizes with primary, secondary, and tertiary insurance per insurance protocol.

• Works all upcoming surgeries, DME or Injections for Prior Authorization from all insurances.

• Notes in two systems the progression of the prior authorization.

• Works with insurances and gathers and submits all medical records needed to get approval for the upcoming service. 

• Corresponds with surgery scheduler on the progression of the prior authorization.  

• DME authorizations, benefits and calling patients to pre-collect and schedule appointments.

• Communicates with patients to resolve issues/problems with insurance, authorization or records needed to get the authorization. 

• Getting up and down to gather information from fax or printer. 

• Completes actions in ECW. 

• Works cooperatively with others to increase accuracy and efficiency.

• Assists other departments as requested by supervisor.

• Attends meetings as required.

• Maintains strictest confidentiality.

• Performs other duties as assigned.

Education: 

• High school diploma or GED required.

Work Experience: 

• Minimum of two years’ experience with insurance.

• Previous authorization/insurance experience in a health care environment.

If you are interested in this position and meet the requirements listed above, please click on “Apply Now”

Check out other available positions

TRINITY EMPLOYMENT SPECIALISTS IS AN EQUAL OPPORTUNITY EMPLOYER

Trinity Employment Specialists is a specialized recruiting firm that focuses on collaborating with companies of integrity and offering human resources and recruiting services. Trinity doesn’t just give you a job, we give you the support you need to be successful. Before you begin, please visit our Career Center with helpful resources including Resume Templates, Interview Tips & Guidelines and even Video Tips to help guide you to your next career.

Trinity has also been awarded by the Journal Record as one of Tulsa’s Fast 40 and recognized as one of Inc. Magazine’s fastest growing companies in America. Serving Tulsa and its surrounding areas, we are 100% focused on exceeding the expectations of our employers and our employees. Don’t just take our word for it, view our Google reviews!

Check us out on Facebook, LinkedIn, Twitter and Instagram for even more interview tips, industry updates and job opportunities!