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Medical Authorization and Appointing Representative

Kelly Services


Location:
Hampton, VA
Date:
04/19/2018
2018-04-192018-05-19
Job Code:
US6112KC_17881905
Kelly Services
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Job Details

Job Title Medical Authorization and Appointing Representative

Jobid US6112KC_17881905

Location: Hampton, VA, 23669, USA

Description **Job Description**

Are you currently looking for work and have prior clerical and claims experience in a healthcare setting? We would like to speak with you!

Our customer located in Hampton, VA has immediate openings for Authorization and Appointing Representatives. These are long term temporary opportunities.

JOB SUMMARY:

The Authorization and Appointing Representative receives requests then contacts the patient to determine the patient's needs in order to set an appointment. The Representative locates a provider, sets the appointment, confirms the appointment occurred, and sets follow up appointments.

Ideal candidate will possess the following:

-Demonstrates regular, reliable and predictable attendance.

-Validates Veteran and medical provider demographic information including correct selection of a medical provider by specialty for healthcare service.

-Determines whether Veterans are eligible to receive health care benefits under the program by determining the patients- status/eligibility, and the appropriate authorization path.

-Contacts medical provider offices by telephone, schedules and cancels patient appointments, and notifies Veterans for all requests. Uses sound judgment in making decisions in order to keep the authorization process moving forward in accordance with contractual timeliness standards.

-Follows step-by-step instructions, including redirecting Veterans to appropriate providers for care, as required by contractual standards.

-Coordinates with providers new to the program to collect demographic information and establish an agreeable reimbursement rate.

-Identifies, analyzes and resolves a variety of scheduling issues.

-Formulates brief sentences/paragraphs from authorization orders and requests correspondence to providers/Veterans including clinical information when available and validates provider/Veteran demographics for accurate delivery of correspondence.

-Documents transactions in authorization system and communicates via written correspondence to the Veteran-s Administration when needed.

-Accounts accurately for personal production via a production report that includes outcome data such as closed transactions, duplicative transactions and requests.

-Meets goals and produces results through tracking performance, improving work processes, and prioritizing work and tasks.

-Achieves successful solutions by reviewing situations and ensuring a full understanding before taking steps to resolve. Key components of this responsibility are objectively identifying problems, recognizing patterns, and determining solutions.

-Works as a team member; cooperates, assists and collaborates with co-workers to achieve goals and department success, and takes personal responsibility for achieving outstanding quality and results.

*Additional duties as required that support department needs.*

Education/Experience: High School Diploma or GED required. Requires minimum one year experience in a production/data entry environment performing alpha and numeric data entry in a healthcare related organization such as managed care, claims/billing, health insurance, customer service, call center, or claims office. Experience with computers, including word processing.

**Please make sure that your resume reflects that you have the above experience to be considered**

License/Certification:Medically based trade school diploma/certification, desired.

Government Security/Clearance/Citizenship Requirements:This position requires U. S. citizenship.

Hours for this position are between 0830 - 1700 Monday through Friday. Pay rate is $14.17 per hour.

Please email your most up to date resume today to 61G4@kellyservices.com to work for a great local customer!

**Requirements**

Job Requirements:

-HS Diploma/GED

-Experience in the medical field required (knowledge of HIPPA, Medical Terminology, etc).

-Proficiency in Microsoft Office Suite

**Why Kelly** **®** **?**

At KellyServices ® , we work with the best. Our clients include 95 of the Fortune100 ™ companies, and more than 70,000 hiring managers rely on Kelly annually to accessthe best talent to drive their business forward. If you only make one career connection today, connectwith Kelly.

**AboutKelly Services** **®**


As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 peoplearound the world and have a role in connecting thousands more with work through our global network oftalent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter .

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females,Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and iscommitted to employing a diverse workforce. Equal Employment Opportunityis The Law.



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