Pay Range: $18.00 to $28.00 an hour.

By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company.

COVID-19 Considerations: All of our employees, visitors, patients, vendors, etc. are masked throughout the day. All employees are to have received COVID-19 vaccine including booster, if applicable, and flu vaccine.

PACT MSO is a Management Service Organization that supports numerous physician groups. We offer health benefits, paid time off, and a friendly working environment. We are a medium sized company with a family atmosphere.

PACT MSO has a busy Internal Medicine Group with multiple locations seeking two Medical Authorization Associates. The position is located in West Haven, New Haven, Orange, Milford and Guilford and will be traveling to each location as needed. The hours are Monday through Friday 8:30am to 5:15pm with rotating Saturday mornings.

The position obtains and assures that all pre-authorizations are completed effectively, accurately, and efficiently.

Essential Functions

• Obtain authorizations or referrals
• Contact insurance companies, labs, etc. get proper authorization
• Analyzes information required to complete pre-authorizations with insurance carriers and service area contacts.
• Accurate and pertinent clinical data and demographics is compiled and communicated to the patient’s insurance company in a timely and organized fashion.
• Communicate information appropriately, accurately, and timely
• Enters necessary authorizations into applicable database.
• Retrieves medical records and critical information from referring provider(s) prior to patient procedures; ensures that all necessary laboratory, imaging test results, and medical records are obtained if needed.
• Collaborates with other staff members to ensure appropriate insurance information is obtained.
• Inform patients of their referral/authorization responsibilities.
• Advocates for patients by helping them navigate through the system.
• Develops tools to assess patient referral processes with respect to efficiency and customer service.
• Patient demographic and additional identifying Enter patient information in EHR

Skills and Knowledge

• Intermediate computer skills including MS Office
• Understands authorization process and procedures
• Demonstrates knowledge of EHR
• Attention to detail
• Collaboration skills
• Communicates proficiency

Education and Experience

• High School Diploma or equivalent
• EPIC Experience Required
• Prior Authorization Experience Required
• 5+ years of experience obtaining authorizations