Clinical Authorization Specialist
1 week ago
About ARcare
ARcare is a leading healthcare provider dedicated to delivering high-quality patient care. We strive to create a work environment that promotes professional growth and well-being.
Job Summary:
We are seeking a detail-oriented and efficient Clinical Authorization Specialist to join our team. This role plays a crucial part in supporting the delivery of cost-effective and high-quality patient care by leveraging clinical expertise and effective communication.
The ideal candidate will have strong clinical acumen, excellent organizational skills, and the ability to handle sensitive information with confidentiality and professionalism. If you are passionate about ensuring seamless access to care while maintaining high standards of clinical excellence, we encourage you to apply.
Key Responsibilities:
- Review prior authorization requests in a timely and accurate manner
- Ensure requests meet national standards, contractual requirements, and clinical guidelines
- Collaborate with healthcare providers to collect necessary documentation and support efficient processing
- Promote cost-effective care while ensuring quality standards are met
- Assist the clinical team with direct patient care services and designated nursing tasks when needed
- Maintain accurate records and documentation in electronic medical systems
- Communicate effectively with patients, providers, and healthcare teams to resolve authorization-related issues
- Adhere to all organizational policies, procedures, and professional standards
Skills & Attributes:
- Strong clinical judgment and decision-making skills
- Excellent time-management and organizational skills
- Strong communication and interpersonal skills to work effectively with patients, providers, and colleagues
- Ability to handle sensitive information with confidentiality and professionalism
Benefits:
ARcare offers a comprehensive benefits package, including health, dental, and vision insurance, paid time off, holidays, life insurance, long-term disability, and a 401(k) retirement plan with company matching. We also offer CEU/CME allowance/reimbursement, in-house required trainings and recertifications, and travel reimbursement.
Estimated Salary:$65,000 - $85,000 per year, depending on experience and qualifications.
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