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Prior Authorization Specialist
PayCompetitive
LocationGeorgia/Vermont
Employment typeFull-Time
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Job Description
- Req#: JR101363
Employer Industry: Outpatient Mental Health Services
Why consider this job opportunity:
- Competitive compensation package
- Flexible schedule for work-life balance
- Comprehensive medical, dental, and vision benefits
- Opportunities for professional development and career advancement
- Supportive clinical community and leadership
- Paid vacation and holidays, along with a matching 401k plan
What to Expect (Job Responsibilities):
- Initiate prior authorization requests with insurance companies by submitting necessary documentation and medical records
- Follow up on prior authorization requests to ensure timely approvals for medications
- Establish clear communication on appointment details and prior authorization status with patients and providers
- Maintain accurate records of prior authorization requests and insurance communications
- Serve as a liaison between providers, patients, and insurance companies to resolve any issues that may arise
What is Required (Qualifications):
- High school diploma or equivalent required; Associate's or bachelor's degree preferred
- At least one year of experience working in a medical office and/or mental health setting
- Proficiency in using electronic health records (EHR)
- Excellent communication skills and ability to work well in a team environment
- Knowledge of medical terminology, insurance terminology, and billing practices
How to Stand Out (Preferred Qualifications):
- Experience working with prior authorization on medications
- Ability to maintain a professional appearance and demeanor in a mental health setting
- Knowledge of working in a clinical setting
- Strong organizational and process-oriented skills
- A passion for the mission of improving mental healthcare
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