Prior Authorization Specialist

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

📋 Description

• Accurately and efficiently process assigned Care Coordination Services and Health Information Management tasks while adhering to client protocols.

• Assess medical documents and electronically organize them within patient charts.

• Utilize client electronic health records (EHR) software and internal systems effectively.

• Manage a high volume of work while ensuring quality and precision.

• Execute data entry and typing tasks with efficiency.

• Participate in cross-training for multiple EHRs to support team coverage.

• Adhere to established filing processes and consult documentation or supervisors as necessary.

• Implement client protocols, Service Level Agreements, Planning Guidelines, and Target Transactions per Hour requirements.

• Monitor completed work, track hourly time, and maintain transaction counts.

• Finalize assigned tasks and communicate variances, issues, delays, and resolutions to management.

• Uphold confidentiality and comply with HIPAA guidelines and procedures.

• Deliver customer service to external customers, vendors, visitors, coworkers, and management.

• Attend all mandatory meetings and training sessions.

• Safeguard sensitive data and adhere to company and client compliance standards.

• Carry out additional duties as assigned to ensure smooth department and company operations.

⛳️ Requirements

• High School Diploma or equivalent is mandatory.

• Previous experience with health information management concepts, EHRs, and/or medical terminology is advantageous.

• Proficient in operating within a high-volume, fast-paced environment while maintaining accuracy.

• Intermediate computer skills, including proficiency in Microsoft Office Suite, with the ability to adapt to company-specific software.

• Capable of efficiently navigating multiple open programs, windows, and applications.

• Strong focus on detail and accuracy is essential.

• Must be able to perform physical tasks, including sitting, talking, hearing, using hands, reaching, standing, walking, driving, and occasionally lifting up to 25 lbs.

• Willingness to work occasional after-hours or weekends may be required.

• Ability to perform responsibilities remotely while ensuring access to strong and reliable internet in a designated, secure, and private workspace.

• Must be able to work according to the Alaska Time Zone schedule.

🏝️ Benefits

• Option to work remotely from a home office environment.

• Onsite and hybrid work arrangements may also be available.

• Participation in required meetings and training sessions.