Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely in Wisconsin or Michigan
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care and satisfaction
- Involvement in a fast-paced environment with high call volumes

What to Expect (Job Responsibilities):
- Review patient medical records to determine if prior authorization is needed for prescribed treatments, procedures, or medications
- Verify patient eligibility and contact insurance companies to obtain necessary authorizations
- Manage the prior authorization process to minimize delays in patient care
- Communicate effectively with healthcare providers, insurance companies, and patients to address concerns
- Ensure high accuracy in data entry and review of medical records related to prior authorization requests

What is Required (Qualifications):
- Minimum of two years’ experience in a medical business office or healthcare setting with customer service or patient-facing responsibilities
- Understanding of basic medical terminology, disease processes, and treatment options
- Familiarity with different insurance plans, benefit structures, and prior authorization guidelines
- Excellent communication skills for effective interaction with healthcare providers, insurance companies, and patients
- High level of attention to detail and problem-solving skills to navigate complex situations

How to Stand Out (Preferred Qualifications):
- Successful completion of post-secondary courses in Medical Terminology, Diagnosis and CPT Coding, and Anatomy & Physiology
- Graduate of a Medical Assistant, Health Unit Coordinator, or Health Care Business Service program

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