Medical Assistant (Prior Authorizations)

Overview:

At Anne Arundel Dermatology we give exceptional care - to our patients and to eachother.

Patient First | Caring | Accountability | Trust | One Team | Growth

With 250+ clinicians and 110+ locations in 7 states, we’re thriving, growing, and looking to add talented individuals to our team!

Why join Anne Arundel Dermatology?

We believe in providing our new associates with intensive hands on training and long-term career growth opportunities from within.

Your attention to detail and knowledge of dermatology procedures and treatments will be instrumental in ensuring the best possible care for our patients.

Responsibilities:

Duties/Responsibilities:

• Authorization Processing:
• Review and assess prior authorization requirements for dermatology treatments, medications, and procedures.
• Initiate and complete the prior authorization process with insurance payers and Primary care providers.
• Maintain positive relationships with referring primary care providers.
• Documentation and Records:
• Maintain detailed and accurate records of all authorization requests and outcomes.
• Ensure all patient records are up-to-date with the necessary authorization documentation.
• Communication:
• Collaborate closely with healthcare providers to gather necessary clinical information and documentation for authorization requests.
• Act as a liaison between the practice, patients, and insurance companies/primary care poviders to provide updates on the status of authorization requests.
• Communicate authorization denials and appeals processes to healthcare providers, clinical team, and front office team.
• Compliance:
• Stay up-to-date with insurance regulations, guidelines, and coding changes relevant to dermatology.
• Ensure that authorization requests adhere to all legal and ethical standards.
• Problem Solving:
• Investigate and resolve any authorization-related issues or discrepancies.
• Assist in the appeals process for denied authorizations.
• Data Analysis:
• Compile and analyze data related to authorization success rates and delays to identify areas for improvement.

Other duties assigned as deemed necessary by management.

Qualifications:

Required Skills/Abilities:

• Phlebotomy preferred.
• Be familiar with and compliant OSHA/HIPAA, infection control & Blood Borne Pathogen Standards.
• Experience administering injections.
• Knowledge of medical terminology, CPT and ICD-10 codes.
• Knowledge of office financial policies.
• Basic computer skills and experience in EMR utilization.
• Able to operate standard office equipment (i.e. computer, fax, copier, scanner, etc)
• Excellent verbal and written communication skills.
• Fluent in English
• Ability to function well in a high-paced and at times stressful
• Ability to work in an effective, cooperative, and courteous manner with staff, patients, and visitors.
• Ability to multi-task, prioritize appropriately, and work well both individually and as part of a team
• Ability to read, understand and follow oral and written instruction.
• Ability to spell, sort and file materials correctly alphabetically or numerically

Timely follow-up and response to patient questions, results and inbox tasks:

• Prepare documents and notes for patients and physicians
• Provide clinical support by following up on requests from providers
• Maintain a high degree of professionalism and compassion in sensitive discussion
• Notifying patients of pathology lab testing results and delivery of follow up instruction
• Patient education regarding medications

Licensure/Certifications/Education:

Education and Experience:

• High school diploma or equivalent; additional education or certification in healthcare administration or related field preferred.
• Prior experience in prior authorization processes within a dermatology practice or healthcare setting is highly desirable.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift 15 pounds at times.