PCP Prior Authorization Specialist
4 weeks ago
About Us
One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.
In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we're building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.
The Opportunity: -
Being part of the One Medical centralize team is a dynamic workspace, powered by teams who are passionate about the One Medical Mission, providing world class service experiences for patients, and who are never satisfied with the status quo. Our teams thrive while handling high volume tasks, and are always evaluating their work through the lens of process improvement through continuous learning and experimentation. - As an Advanced Tasking team member, you'll be a part of a specialized team, skilled in complex tasking.
Finally, in an effort to promote continuous learning and discovery, you'll be expected to motivate your team members to analyze their work closely, ask questions and seek out more efficient processes and opportunities for elevation through process improvement work, using lean tools and methodologies. This role supports patients nationwide. -
There are 3 categories of Advanced Tasking: -
Complex Tasking
Consult Orders (Specialist Office Visits)Procedure Orders (Ex: MRI/CTs, Radiology, DME, Mammogram, etc.)Prescription Authorization (Ex: High Cost Specialty Medications)Provider Support Room (Ex: Clinically Urgent Tasks for IOPs/VMT Providers)
Sexual Reproductive Health - assisting a patient through the authorization, scheduling and coordination of complex female health procedures. (Ex. Colposcopy)
What you'll likely work on:
Maintaining service level agreements in complex insurance authorizations.
Meeting or exceeding performance requirements for 6 months minimum (200+ Tasks/week).
What you'll need:
At least 2 years of experience completing referrals and navigating complex insurance portals and highly complex orders -
Experience working in a highly productive department with strong metrics accountability/ownership
Positive, collaborative attitude and high team engagement with an action-oriented mindset. -
Working in a national market/healthcare organization that understands complexity of regions -
Experience with working with different EMRs -
Experience with working remotely preferred - -
Benefits designed to aid your health and wellness:
Taking care of you today
Employee Assistance Program - Free confidential advice for team members who need help with stress, anxiety, financial planning, and legal issues
Competitive Medical, Dental and Vision plans
Free One Medical memberships for yourself, your friends and family
Pre-Tax commuter benefits
PTO cash outs - Option to cash out up to 40 accrued hours per year
Competitive salary: the base pay for this position is $24.00 per hour based on a full time schedule
Protecting your future for you and your family
401K match
Opportunity to participate in company equity programs
Credit towards emergency childcare
Extra contributions toward maternity and paternity leave
Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance
This is a full-time hourly role, with flexible shift needs that may include nights and weekends. The role is in-person in our office in Tempe, AZ. -
Physical Demands: - Mostly sedentary work duties require exerting up to ten pounds of force occasionally and/or small amounts of force frequently. Sedentary work typically involves sitting most of the time, but may involve walking or standing for brief periods.One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.
One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. - Please refer to the E-Verification Poster (English/Spanish) and Right to Work Poster (English/Spanish) for additional information.
-
-
PCP Prior Authorization Specialist
4 weeks ago
Tempe, Arizona, United States One Medical Full timeJob Title: PCP Prior Authorization SpecialistAbout One MedicalOne Medical is a pioneering healthcare organization that's revolutionizing the way people experience medical care. Our mission is to deliver exceptional healthcare services that are accessible, affordable, and enjoyable for everyone. We're a team of passionate individuals who are dedicated to...
-
PCP Prior Authorization Specialist
4 weeks ago
Tempe, Arizona, United States One Medical Full timeAbout One MedicalOne Medical is a pioneering healthcare organization that is revolutionizing the way people experience quality care. With a mission to make healthcare more affordable, accessible, and enjoyable, we are committed to delivering exceptional services to our patients and partners.The OpportunityWe are seeking a highly skilled and experienced Prior...
-
PCP Prior Authorization Specialist
4 weeks ago
Tempe, Arizona, United States One Medical Full timeAbout UsOne Medical is a pioneering healthcare organization that's revolutionizing the way people experience quality care. We're committed to making healthcare more accessible, affordable, and enjoyable for everyone.Our mission is to transform the healthcare industry by delivering exceptional patient experiences, fostering a culture of innovation, and...
-
PCP Prior Authorization Specialist
2 months ago
Tempe, United States One Medical Full timeAbout Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health...
-
PCP Prior Authorization Specialist
2 months ago
Tempe, United States One Medical Full timeJob DescriptionAbout UsOne Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers...
-
Prior Authorization Specialist
4 days ago
Tempe, United States TEKsystems Full timeJob DescriptionJob DescriptionAs the Prior Authorization Representative (Healthcare)If you’re ready to explore the next step in your career:You’ll enjoy…Career Opportunities – Tons of growth opportunities for your careerStandard Hours – 100% in office role. Monday-Sunday (8:00 AM - 5:00 PM)Shift options: Monday-Friday, Tuesday-Saturday, or...
-
PCP Prior Authorization Specialist
4 weeks ago
Tempe, United States One Medical Full timeAbout UsOne Medical is a pioneering healthcare organization that's revolutionizing the way we deliver quality care. Our mission is to make healthcare more accessible, affordable, and enjoyable for everyone. We're not just a doctor's office - we're a team of passionate professionals dedicated to transforming the healthcare experience.The OpportunityWe're...
-
Pcp Prior Authorization Specialist
3 weeks ago
Tempe, Arizona, United States One Medical Full timeAbout One MedicalWe're a primary care solution challenging the industry status quo by making quality care more affordable, accessible, and enjoyable. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses, and mental health concerns have been delighting people for...
-
Prior Authorization Specialist
3 weeks ago
Tempe, Arizona, United States One Medical Full timeAbout One MedicalWe're a primary care solution challenging the industry status quo by making quality care more affordable, accessible, and enjoyable. Our mission is to transform healthcare, improving the experience for everyone involved - from patients and providers to employers and health networks.Our seamless in-office and 24/7 virtual care services,...
-
Prior Authorization Specialist
4 weeks ago
Pittsburgh, PA, United States Blink Health Full timeCompany Overview:Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products – BlinkRx and Quick Save – remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and...
-
Prior Authorization
1 month ago
Pittsburgh, PA, United States Blink Health Full timeCompany Overview:Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products – BlinkRx and Quick Save – remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and...
-
Clinical Review Nurse
1 day ago
Bedford, NH, United States Centene Full timeYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyzes all prior authorization requests to determine...
-
Clinical Review Nurse
5 days ago
Getzville, NY, United States Fidelis Care Full timeYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must have an active New York State clinical license. Position Purpose:...
-
Senior Equipment
7 days ago
Boston, MA, United States Hobson Prior Full timeHobson Prior is seeking a Senior Equipment & Systems Specialist to join a well-established biotech. This role involves working remotely within the U.S. with significant travel to various sites. The focus is on initiating and maintaining equipment at new facilities.Please note that to be considered for this role you must have the right to work in this...
-
Insurance Authorization Specialist
4 days ago
Sarasota, FL, United States Florida Digestive Health Specialists LLP Full timeThe Insurance Authorization Specialist role involves close coordination with healthcare providers, insurance companies, and patients to verify coverage and secure approvals. The ideal candidate will possess strong communication skills, attention to detail, and a solid understanding of healthcare insurance processes.Our organization is committed to delivering...
-
Insurance Authorization Specialist
1 day ago
Sarasota, FL, United States Florida Digestive Health Specialists LLP Full timeThe Insurance Authorization Specialist ensures timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure necessary approvals to optimize reimbursement and patient...
-
Medical Authorization Representative
2 months ago
Garden City, NY, United States Orlin & Cohen Medical Specialist Group Full timeOrlin & Cohen is one of the largest orthopedics practices in the region, with 20 offices in Nassau and Suffolk Counties, Queens, and Staten Island. We have been in business for more than 25 years and have over 1200 dedicated healthcare employees in our care. Team members enjoy competitive salaries, exceptional medical benefits, and generous PTO.We are...
-
Insurance Authorization Specialist
4 weeks ago
Sarasota, FL, United States Florida Digestive Health Specialists LLP Full timeDescription: The Insurance Authorization Specialist is responsible for ensuring timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure the necessary approvals to...
-
Insurance Authorization Specialist
2 months ago
Sarasota, FL, United States Florida Digestive Health Specialists LLP Full timeDescription: The Insurance Authorization Specialist is responsible for ensuring timely and accurate authorization of medical procedures, treatments, and services. This role involves close coordination with healthcare providers, insurance companies, our Central Billing Office (CBO), and patients to verify coverage and secure the necessary approvals to...
-
Boston, MA, United States Hobson Prior Full timeHobson Prior is seeking a Clinical Data Management Lead to join a dedicated team. The successful candidate will oversee a small, remote team of Clinical Data Managers, ensuring high-quality data management for oncology studies. This position requires hands-on involvement in data management tasks and leadership in project management.This position is a fully...
