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Clinical Authorization Specialist - Ophthalmology - Full Time 8 Hour Days

Company: Keck Medicine of USC
Location: Los Angeles
Posted on: January 14, 2018

Job Description:

Minimum Education


  • HS Diploma or GED Required.


    Minimum Experience/Knowledge


    • 2 years of experience in a hospital, medical office/doctors office or working for a health insurer required.
    • Ophthalmic experience is preferred.
    • Medical prior authorizations or claims experience in a managed care setting highly preferred
    • Knowledge of the health insurance industry and claims processing a plus
    • Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills


      Required License/Certification


      • Fire and Safety Certification. If no card upon hire, one must be obtained within 30 days of hire, and maintained by renewal before expiration date.


        The Specialist Clinical Authorization will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission and ancillary services as needed. The Representative will be instrumental in obtaining written documentation, submitting, tracking reporting and documenting outcomes of each authorization request. The Representative will be in a position to interface directly with medical and clinical staff to ensure a seamless process to the patients receiving outpatient clinic, inpatient admission and /or ancillary services.

        Keywords: Keck Medicine of USC, Los Angeles, Clinical Authorization Specialist - Ophthalmology - Full Time 8 Hour Days, Healthcare, Los Angeles, California

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