RESPONSIBILITIES:

• Anticipate our customer needs: Understand the wants and needs of customers, listen for cues and identify how to respond and what level of intervention they need.
• Communicate effectively and interact with the provider group and health plans daily or as indicated regarding UM and referral authorization issues.
• Fax or call in prior authorizations requests.
• Process request that are approved, denied or deferred and bring them to resolution.
• Responsible for deferred authorization maintenance, tracking and follow up.
• Returns phone calls to customers and follows up with requests.
• Maintain all reference material that is provide by the supervisor, manager or director.
• Maintain patient confidentiality so that HIPAA compliance is always observed.
• Demonstrates honesty and integrity in everyday activities.
• Recognizes when an error has been made and immediately reports to appropriate manager.
• Assists other staff and supports the team approach.

QUALIFICATIONS:

EDUCATION:

REQUIREMENTS:

• Communicate with patients for scheduling and scheduling needs
• Will coordinate to gain approval for transportation, interpreter, and lodging accommodations
• Navigate and maintain scheduler within the EMR
• Enter data and information in the desired database locations
• Communicate with IPM staff to ensure patients are being treated
• Maintain confidentiality regarding patients’ personal information
• Maintain positive relationships with patients and peers
• Become familiar with the California Worker’s Comp Labor Code
• Completion of the required tasks within the desired deadline
• Bilingual in Spanish preferred
• Ability to multitask
• Ability to follow directives
• Excellent customer service
• Professional demeanor and appearance
• Efficient with time management
• Experience with coordinating between different departments