JOB REQUIREMENTS: JOB SUMMARY: This position is primarily responsible for ensuring that prior authorizations are effectively and courteously processed for patients receiving services in the Gerald L. Ignace Indian Health Center working directly with front office staff and providers. ESSENTIAL BEHAVIORS: Build Trust: Operate with transparency, no hidden agenda; place confidence in colleagues, give proper credit to others. Follow through on agreed upon actions. Treat sensitive or confidential information appropriately. Keep emotions under control. Exhibit ethical and moral behavior in everyday business conduct. Foster Communication: Demonstrate ability to carefully listen to others at all levels of the organization. Seek and listen to feedback and be approachable. Express thoughts and ideas effectively. Display and promote cross cultural sensitivity. Display Stewardship: Understand business implications of decisions. Conserve organization resources. Look for ways to improve and promote quality. Take personal responsibility. Use resources in an efficient and cost-effective manner. ESSENTIAL DUTIES AND RESPONSIBILITIES: As part of the Care Team, Medical Assistants are responsible for direct and indirect patient care activities, including but not limited to: Assist the Front Office staff with the daily pre-registration of patients scheduled for appointments. Proactively calls patients to inform them about any situation related to their medical insurance(s) Performs data entry of insurance information. Schedule and confirms medical appointments, reschedule, and cancel appointments if prior authorization is required and not in effect. Review scheduled appointments, verify insurance, and determine the need for prior authorizations. Work with providers to determine care plan and services to be provided under prior authorization. Develop and maintain records of all submitted requests for prior authorizations. Submit all services that require prior authorization to insurance carrier either online, phone or via fax. Develop and maintain a method to track prior authorization services and dates to eliminate risk of providing service(s) that exceed the limits of the authorization. Follow up on authorizations not received in a timely manner. When authorizations are received, enter authorization information into EHR. Monitor service(s) provided to be certain the billed service(s) matches the authorized service(s). Notify manager if there are discrepancies. Determine need for additional authorization and submit requests for continuing services if... For full info follow application link. The Gerald L. Ignace Indian Health Center, Inc. provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability. Equal Opportunity employer/Veteran/Disabled. American Indian and Veteran Preference employer. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/8E1C0635E4194476 Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.