Healix

PRIOR AUTHORIZATION SPECIALIST


PayCompetitive
LocationSugar Land/Texas
Employment typeOther

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  • Job Description

      Req#: 270586
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Flexibility of remote work
      - Be part of a leading company in physician office-based infusion services
      - Supportive and collaborative work environment
      - Chance to make a positive impact on patient care and satisfaction

      What to Expect (Job Responsibilities):
      - Review referral medical record documentation and evaluate medical criteria for prior authorizations
      - Maintain complete, timely, and accurate documentation of reviews
      - Communicate consistently with sites and staff regarding patient referral status and documentation needs
      - Manage the daily queue for clinical reviews to ensure timely completion of tasks
      - Assist with generating site-specific template orders and report key performance metrics

      What is Required (Qualifications):
      - Current certification as a pharmacy technician (CPhT) or medical assistant (MA) is required
      - 2-3 years of prior authorization experience
      - Proficiency in electronic medical record systems and Microsoft Office Suite, including Outlook, Excel, and Word
      - Strong analytical and communication skills, including written and verbal abilities
      - Self-motivated with effective multitasking and teamwork skills

      How to Stand Out (Preferred Qualifications):
      - Bachelor's degree is preferred
      - Knowledgeable in medical terminology, generic and trade pharmaceutical names, and pharmaceutical calculations
      - Proficiency in PowerPoint is preferable

      #HealthcareServices #PriorAuthorization #RemoteWork #CareerDevelopment #PatientCare

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      We customize our services to make sure that each physician, hospital, academic medical institution, or pharmaceutical company is able to meet their changing goals and responsibilities. Working at Healix means that you have the opportunity to impact t...