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Auth Central Lead

Florence, SC
TRACKING CODE

7537

JOB DESCRIPTION

Job Responsibilities/Expectations:

  1. Assists the Auth Central Supervisors ensuring timely authorizations are secured for the Auth Central  scope of work.
  2. Proactively partners and serves as a SME to the Patient Access Specialists team with educational and training updates, as needed.
  3. Partners and supports all 7 locations as well as the ancillary departments. This also includes partnering with all MPA (McLeod Physician Associates) practices as well as non-McLeod owned practices. Also, assists in growing the Auth Central body of work towards centralization.
  4. As needed in staffing, utilizes all tools and resources furnished via manual authorization/payer grids and payer portals.  Assists in the routine and frequent updating of all resources and helps cascade to the Auth Central Team.
  5. Supports the Auth Central Supervisors to ensure each patient’s account is accurately and timely worked  thereby ensuring hospital reimbursement and reductions in patient wait times or likelihood of rescheduling. 
  6. Participates in the monthly denials meetings in an effort to identify areas of opportunity.
  7. Supports the Auth Central Team helping ensure all patients have been financially vetted with the work queues 3 days out or greater. 
  8. Participates in Payer webinars for information gathering and learning purposes.
  9. Audits inbound and outbound calls as needed for quality review and denial purposes. 
  10. Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.

 

 

Qualifications/Training:

  • Patient Access Auth Central authorization experience
  • Experience with Windows based computers and  Microsoft Office
  • Written and verbal communication skills with persons of all ages and diverse backgrounds
  • Problem solving and performance improvement skills
  • Revenue Cycle knowledge and the understanding of how this work impacts the business

 

WORK SCHEDULE

Full time

JOB LOCATION

Florence, SC, United States

POSITION TYPE

Full time

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