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Business Office Associate - Prior Authorizations Specialist

Physician Network Support Serv 
Full Time
Regular 
Day Shift 
8

Voted one of South Carolina’s “Best Places to Work” for 2019, the Lexington Medical Center Physician Network includes more than 450 physicians and advanced practice providers at 75 locations across the Midlands.

From general medicine and orthopedics to oncology and neurosurgery, these dedicated physicians, specialists and surgeons combine the highest quality care with advanced medicine and state-of-the-art technology to help patients achieve the best possible outcomes.  As the third largest employer in the Midlands, we invite you to be a part of our ongoing success and join our LMC Family.
 

Job Summary

The primary responsibility of this position will be to obtain prior authorizations for imaging services across the physician network practices. 

Minimum Qualifications
  • Minimum Education:  High School diploma or equivalent
  • Minimum Years of Experience:  One year experience in a related field that involves administrative support and customer service activities
  • Substituable Education & Experience:  Experience can be substituted for successful competion of a Medical Office Administrative Assistant certificate program
  • Required Certification/Licensure:  None
  • Required Training:  None
Essential Functions
  • Maintains positive attitude.  Has contact by phone, correspondence or in person meetings with persons in other departments or outside the practice. Tact is required in all communication and the employee is responsible for harmonious relationships.
  • Demonstrates the following:           
    • Appropriate communication of information to all ages.       
      • Infant -  birth to 1 year           
      • Child - 1 year through 12 years          
      • Adolescent - 13 years through 17 years        
      • Adult - 18 years through 65 years         
      • Geriatric - over 65 years          
    • Responsiveness to all patients and office staff requests.      
    • Performance of duties assigned by authorized personnel or as required in an  emergency, i.e., fire or disaster.
  • Provides/Performs             
    • Communication             
      • Telephone (Answer, Transfer)          
      • Orders/Messages - Accurate and timely relay of information    
    • Scheduling             
      • Referrals             
      • Appointments           
      • Ancillaries             
      • Surgeries             
      • Hospital Admissions          
    • Medical Records             
      • Documentation            
      • Forms - Chart structure           
      •  Electronic chart maintenance          
      • Image files            
      • Faxing             
      • Copying            
    • Mail - In and Out
Duties & Responsibilities
  • Provides/Performs (continued)
    • Office Operations             
      • Enter/Verify/Correct patient demographics and insurance information    
      • Obtain necessary signatures and consents as appropriate      
      • Post charges/payments           
      • Collect payment for office visits         
      • Daily updates            
      • Deposits             
      • Maintain cash drawer           
      • Screening and collecting unpaid balances        
      • Financial counseling when needed         
      • Work accounts receivable          
      • Precertification/Authorization
  • Operation of and responsibility for equipment (including, but not limited to, routine maintenance, ordering of supplies, log sheets and cleaning)       
    • General Office Equipment, i.e., fax machine, copier, etc.
  • In-service/Education            
    • Department Orientation           
    • Annual Training
  • Clerical log sheets/audits            
    • Samples              
    • Equipment
  • Other               
    • Coding              
      • E&M/basic visits            
      • Office procedures/complex visits         
      • Surgeries             
      • Hospital Services            
      • Correspondence            
      • Statistical reports            
      • Accounts payable           
      • Payroll             
      • Chaperone           
    • Provides support and guidance for clerical policies and procedures
  • All other duties as assigned  

We are committed to offering quality, cost-effective benefits choices for our employees and their families:

  • Day ONE medical, dental and life insurance benefits 
  • Health care and dependent care flexible spending accounts (FSAs)
  • Eligible employees may also enroll in LMC's retirement plans on their date of hire, including the South Carolina State Retirement System (SCRS)
  • Supplemental 401(k)
  • 457(b) retirement plans
  •  Free life insurance – equal to 1x salary
  • Adoption assistance
  • 401(K) Match – LMC matches dollar for dollar up to 6% 
  • LMC provides its full-time employees short-term disability and long-term disability coverage after 90 days of eligible employment
  • 529 College Savings
  • Tuition reimbursement
  • Student loan forgiveness

Equal Opportunity Employer

It is the policy of LMC to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. LMC strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. LMC endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.

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