Prior Authorization Assistant at Avera Medical Group in Pierre, SD

Location: Avera Pierre Clinic

Worker Type: Regular

Work Shift: Day Shift (United States of America)

Pay Range:

The pay range for this position is listed below. Actual pay rate dependent upon experience. $18.00 - $23.25

Position Highlights

8:00am-5:00pm M-F; 80hrs/2wks

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

Responsible for obtaining prior authorization from insurers for medical tests, procedures, surgeries and specialty appointments ordered by the provider. Has understanding of tests, procedures and preparation required prior to testing. Sees that all necessary paperwork and documentation is complete for each procedure. Performs other secretarial duties as the need arises.

What you will do

• Obtains preauthorization from insurers for testing, surgery, therapies, subspecialty referral and any other prior authorization required by the patient's insurance carrier
• Appropriately documents prior authorization and communicates information to the performing facility, physician, clinic staff, and patient or patient's family as necessary
• Performs other generalized secretarial duties as time allows including, but not limited to: making copies, maintaining incoming and outgoing fax transactions, pulling charts, loose filing, general reception duties and scheduling appointments.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

• High School or GED Equivalent If not a Medical Assistant must have 3-6 months experience or
• Associate's Medical Assistant degree

Expectations and Standards

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.
• Up to 5% employer matching contribution for retirement
• Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.