Prior Authorization Specialist

1 week ago


Phoenix, United States Anodyne Pain and Wellness Solutions Full time

**Integrated Pain Consultants is seeking an experienced Triage Specialist to join our team in Phoenix, AZ** In this role you will support authorizations for continued care, set follow up office visits, support and maintain provider schedules, obtain medication prior authorizations and more. **If you have experience in pain management and are seeking the opportunity to grow with a team of compassionate professionals, this is for you**

**ACCOUNTABILITIES AND JOB ACTIVITIES**:
**Responsible for Patient Interactions & Coordination**
- Manage incoming calls from patients
- Prioritizes & appropriately escalates triage calls
- Schedules patients as needed
- Communicates patient concerns as needed to adjacent departments
- Ensures follow up for moderate/high level concernsObtains medication prior authorizations under clinician direction & patient insurance guidelines
- Communicates with staff and outside facilities (hospitals, physicians offices, labs, pharmacies, etc,) as needed
- Manage Medical Records Requests

**Responsible for Carrying out Physician Orders**
- Assists with troubleshooting patient calls related to post procedure concerns, prescription refills and pharmacy communication (not limited to calling prescriptions into the patient pharmacy)
- Obtains medication prior authorizations following provider direction and patient insurance guidelines

**QUALIFICATIONS**
- 1+ years’ admin or clinical experience in pain management
- 1+ years’ experience obtaining prior authorizations for medications under the direction of a clinician
- 1+ years' experience as a Medical Assistant or CNA preferred
- 1+ years' experience with eClinicalWorks or Athena EMR
- High School Diploma equivalent or higher

**Special Job Characteristics**
- Fast paced work environment with established time constraints
- Must be comfortable with a high call volume
- Must be able to multitask while maintaining accuracy
- Must work well with others

**OTHER REQUIREMENTS**:

- Knowledge of common safety hazards and precautions to establish a safe work environment
- Must be able to act calmly and effectively in busy, stressful or emergency situations
- Ability to communicate effectively in person, by phone and in writing
- Require adherence to all policies and procedures, including standards for safety, attendance, punctuality and personal appearance
- This position must be willing to do any additional tasks as assigned by management

**PHYSICAL REQUIREMENTS**:
**HEARING**:Adequate to perform job duties in person and over the telephone.

**SPEAKING**:Must be able to communicate clearly to patients & staff in person and over the telephone.

**VISION**:Requires eyesight correctable to 20/20 to operate equipment and read information from printed sources and computer screens.

Pay: $18.00 - $20.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance

Weekly day range:

- Monday to Friday
- No weekends

Application Question(s):

- What is the best phone number for our recruiter to reach you?

**Experience**:

- Pain management: 1 year (required)
- Medication Prior Authorizations: 1 year (preferred)

Ability to Relocate:

- Phoenix, AZ 85027: Relocate before starting work (required)

Work Location: In person



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