Prior Authorization Specialist - Clinical/Office jobs in United States
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The Center for GI Health · 18 hours ago

Prior Authorization Specialist - Clinical/Office

The Center for GI Health is seeking a Prior Authorization Specialist to effectively obtain insurance authorizations for patients prescribed medication. This role involves managing authorizations in a multi-provider practice and communicating with patients and physicians regarding approvals or denials.

Medical Practice
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Responsibilities

Responsible for authorizations in multi-provider practice
Obtain patient insurance information and contact insurance carriers online or by phone to verify requirements
Research clinical information from medical record needed to obtain prior authorizations from insurance companies or patient assistance programs
Communicating authorizations to patients and physicians explaining approvals or denials for medication when needed
Field any phone calls and emails related to authorizations
Establish relationships with drug companies

Qualification

Medication AuthorizationInsurance Guidelines KnowledgeAllscripts EMRCustomer Service ExperienceComputer SkillsOrganizational SkillsProblem-Solving SkillsInterpersonal SkillsCommunication Skills

Required

High School Diploma or GED equivalent
Minimum 3-5 years of experience in customer service preferred but not required
Prefer previous Medication Authorization responsibilities
Allscripts EMR program a plus

Company

The Center for GI Health

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The Center for GI Health specializes in all aspects of gastrointestinal health, including the diagnosis, treatment, and prevention of colon cancer.

Funding

Current Stage
Early Stage
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