Prior Authorization Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Initiate prior authorization requests with insurance providers by submitting the necessary documentation and medical records.

• Follow up on prior authorization requests, supplying additional information as needed, and ensuring timely approvals for medications.

• Communicate the status of prior authorizations and insurance coverage details to patients, support staff, and healthcare providers.

• Maintain precise records of prior authorization requests and interactions with insurance companies.

• Act as a liaison between healthcare providers, patients, and insurance firms to facilitate communication and resolve any issues.

• Protect patient information and secure medical records.

• Respond to both verbal and electronic inquiries for information and assistance.

• Ensure a safe, secure, and healthy work environment in accordance with legal regulations.

• Exhibit knowledge of emergency protocols and assist during crisis situations.

• Uphold client HIPAA rights and maintain confidentiality protections.

• Handle documents efficiently and accurately for filing and scanning purposes.

• Copy, scan, fax, and email information as needed.

• Perform additional relevant responsibilities as assigned by the supervisor.

⛳️ Requirements

• A high school diploma or equivalent is required.

• A minimum of one year of experience in a medical office and/or mental health setting is preferred.

• Experience with prior authorization for medications is preferred.

• Ability to maintain a professional appearance and demeanor, and interact effectively with patients in a mental health environment is preferred.

• Excellent communication skills and the ability to collaborate well within a team.

• Familiarity with medical terminology, insurance terms, and billing practices.

• Some experience in healthcare environments or insurance verification is highly desirable.

• Knowledge of working within a clinical setting is preferred.

• Availability from Monday to Friday, 9am–1pm CST.

• Part-time availability of 20 hours per week.

🏝️ Benefits

• Competitive compensation.

• Flexible scheduling.

• Opportunities for both in-person and virtual patient visits.

• Comprehensive administrative support (front office, accounting, finance, payroll, HR, etc.).

• Opportunities for professional development.

• A supportive clinical community and leadership.

• Medical, dental, and vision benefits.

• Life insurance coverage.

• Short and long-term disability benefits.

• Paid vacation and holidays.

• Matching 401k plan.

• Access to state-of-the-art technology.