Medical Prior Authorization Specialist

Job description

A medical practice is seeking a motivated person to work as a full time a authorization specialist. Experience is a plus. The job requires good communication and computer skills. Competitive salary, paid health benefits, paid vacation, and a great working environment with friendly staff makes this a great opportunity.

Essential Job Functions:

• Serves as the primary liaison for all prior authorizations needed
• Facilitates communication between patients, insurance carriers, and providers
• Submits medical records to insurance carriers to expedite prior authorization processes
• Requests, tracks, and obtains prior authorizations both in/out of network and internal/external from insurance carriers and third-party authorization companies
• Maintains ongoing tracking and appropriate documentation on prior authorizations in internal and external systems
• Manages correspondence with insurance companies, physicians, specialists and patients
• Remains current on insurance changes
• Assumes advocate role on the patient's behalf with the carrier to ensure approval of authorization in a timely manner
• Other duties as assigned
• Requires critical thinking skills, decisive judgement and the ability to work with minimal supervision.
• Must be able to work in a high paced environment and can take the appropriate action.
• Must be advanced computer typing and literacy.
• Reading and writing skills, organizing and filing, professional phone etiquette, and strong customer service skills.

Sweetwater Pain and Spine uses a comprehensive approach to pain and spine care. Our physicians are board certified and fellowship trained in interventional pain medicine.