Auth Representative
SimonMed Imaging MSO, LLC
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Tampa, FL 33613
REPORTS TO: Under the direct supervision of the Pre-Authorization Supervisor
GENERAL DESCRIPTION/POSITION GOAL:
I. JOB RELATED FUNCTIONS:
Demonstrates competency in the performance of job related skills appropriate to his/her customer populations and departmental services.
Ensures patients have been cleared for specific diagnostic tests.
Obtains pre-certification and registration prior to a patient’s appointment.
Gathers pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient is not financially obligated for services provided.
Provides ongoing communication with patient regarding authorization and scheduling process.
Has knowledge insurances and of commonly-used concepts, practices, and procedures.
Relies on instructions and pre-established guidelines to perform the functions of the job.
II. CUSTOMER SERVICE EXPECTATIONS: Demonstrates competencies in customer service and an understanding of SimonMed’s code of conduct and culture.
III. EQUIPMENT: Utilizes and operates equipment and mechanical devices which provide for a functional, effective, and safe environment.
IV. JOB RELATED AND PROFESSIONAL GROWTH: Adheres to policies, procedures, guidelines relative to departmental operations. Participation in specific activities for the promotion of self-growth or the enhancement of a positive image.
V. QUALITY: Applies the standards of practice/performance in the work setting to achieve positive outcomes.
MINIMUM QUALIFICATIONS: Requires an associate’s degree or its equivalent and 2-4 years of experience in the medical field. Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
PHYSICAL DEMANDS: This position may require duties including lifting and carrying up to 40 pounds, sitting for prolonged periods of time, frequent standing, walking, bending, and reaching. Good visual and auditory acuity as well as good manual dexterity and the ability to be readily understood are essential. Must be able to work in an environment with multiple deadlines and priorities. Must be able to work in a stressful environment.
DRESS ATTIRE: Business Casual and always a SimonMed Logo Custom Lab coat/White Jacket