Prior Authorization AssistantDuration: 3 to 6 monthsMedicaid/Medicare background preferred but not required.Job DescriptionNature of Work:This position provides assistance to the Prior Authorization Department. This position reports to the Prior Authorization Manager.Duties and Responsibilities:Process and documents all incoming inpatient and outpatient prior authorization (PA) requests as outlined by Client policies and procedures.Contacts providers via phone or fax to request additional information or clarification as needed per established process.Communicates effectively with customers/providers (both internally and externally) regarding the status of PA requests.Enters PA requests into the prior authorization database, prepares documentation, and tasks to the appropriate staff member for clinical review.Completes special projects as requested.Marginal Functions:Required Qualifications:Ability to communicate effectively both verbally and in writing.Knowledge of general business practicesDetail oriented and organized work ethic.Ability to work independently as well as in a team environment.Ability to use a personal computer and Microsoft Office software applications, including Word and Excel.Knowledge of appropriate telephone etiquette and general business practicesDesirable Qualifications:Previous experience in a clinical environment.Previous experience working in managed health care setting or insurance environment.Knowledge of Medical Terminology.Knowledge of additional Microsoft Office software such as PowerPoint.Physical Demands:Must be able to communicate with members, providers, and staff in an effective manner via the telephone and in person.Must be able to communicate in writing and understand written materials of a complicated manner.Must be able to use a computer terminal to input and access information in a timely manner.Must be able to work in a fast-paced environment.More than 50% of the time, employee will be working at a desk, with a PC terminal.Work Conditions/Environment:Additional InformationAll your information will be kept confidential according to EEO guidelines.