Prior Authorization Specialist

Job Title: Prior Authorization Specialist

Job Summary:

We are seeking an experienced Medical Assistant to work in our referral department to assist our patients and provide excellent medical care.

In this exciting role you will be responsible for some of the following activities:

• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
• Assemble information concerning patient's clinical background and referral needs.
• Contact review organizations and insurance companies to ensure prior approval requirements are met.
• Present necessary medical information such as history, diagnosis and prognosis.
• Review details and expectations about the referral with patients.
• May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
• Ensure that referrals are addressed in a timely manner.

Job Types: Full-time, Part-time

Required Skills/Abilities:

• Effective written and verbal communication
• Strong customer service skills
• Ability to remain organized while managing competing priorities

Education:

• High School Diploma or Equivalent (Required)
• Medical Assistant Certification (Optional)

Experience:

• At least one year experience as a Medical Assistant (Preferred)

Disclaimer: This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.