Medication Authorization Specialist

4 days ago


Conway Arkansas, United States Conway Regional Heath System Full time
Job Summary

We are seeking a highly motivated and detail-oriented Medication Authorization Specialist to join our team at Conway Regional Health System. As a Medication Authorization Specialist, you will play a critical role in ensuring the efficient initiation and follow-up of prior authorizations for various medications.

Key Responsibilities
  • Coordinate with clinic staff, insurance carriers, patients, pharmacy, and providers to accurately complete required documentation for insurance verification and approval in a timely manner.
  • Verify insurance coverage and eligibility for requested medications.
  • Request and collect necessary documentation from healthcare provider offices, ensuring all required information is complete and accurate for prior authorization submissions.
  • Communicate with healthcare providers, insurance companies, and patients regarding authorization status and requirements.
  • Monitor the progress of prior authorizations and diligently follow up with insurance providers and healthcare professionals to expedite approval processes.
  • Maintain professional and effective communication with healthcare provider offices to obtain additional information, clarify details, and ensure a smooth prior authorization process.
  • Provide exceptional customer service to patients, healthcare providers, and internal team members, addressing inquiries and concerns promptly and courteously.
  • Assist in initiating appeals when necessary and follow up on appeals to ensure timely resolution.
  • Demonstrate the ability to multitask efficiently in a fast-paced environment, managing multiple prior authorizations simultaneously.
  • Maintain confidentiality and adhere to HIPAA regulations when handling sensitive patient information.
  • Clearly document progress on each prior authorization and all communications and contacts with providers and personnel.
  • Assists in performance improvement activities.
  • Shares in the responsibility for maintaining order and cleanliness of the department.
  • Maintains a level of productivity suitable for the department.
Requirements
  • High school diploma or equivalent required.
  • Previous experience in medical billing or prior authorization is highly preferred.


  • Conway, Arkansas, United States MaineHealth Full time

    Clinical Authorization Associate **Job Summary** We are seeking a skilled Clinical Authorization Associate to join our team at MaineHealth. As a key member of our clinical operations team, you will play a critical role in ensuring seamless patient care by facilitating the pre-authorization process for surgical procedures, radiology, durable medical...

  • Medical Assistant

    4 days ago


    Conway, Arkansas, United States Conway Regional Heath System Full time

    Job SummaryWe are seeking a highly skilled Medical Assistant to join our Cardiology Clinic team. As a Medical Assistant, you will play a vital role in providing exceptional patient care and supporting our healthcare professionals.Key ResponsibilitiesAssist physicians and nurse practitioners with patient assessments, examinations, and procedures.Enter patient...


  • Conway, Arkansas, United States Conway Medical Center Full time

    Medical Coding and Billing Specialist **Job Summary:** We are seeking a highly skilled Medical Coding and Billing Specialist to join our team at Conway Medical Center. As a Medical Coding and Billing Specialist, you will play a critical role in ensuring the accuracy and efficiency of our medical billing processes. **Responsibilities:** * Assign procedure...


  • Conway, South Carolina, United States TotalMed Full time

    Job Opportunity at TotalMedWe are seeking a highly skilled Medical Imaging Specialist to join our team for a travel assignment in a leading healthcare facility.About the Role:As a Medical Imaging Specialist, you will be responsible for operating and maintaining complex medical imaging equipment, including cath lab technology.You will work closely with...


  • Conway, Arkansas, United States Conway Regional Heath System Full time

    Job Summary:The Patient Care Specialist will assume responsibility and accountability for providing support services to ensure continuity of care and help to meet the department goals as directed by the healthcare team.Key Responsibilities:Provide patient care activities in caring for the personal needs and comfort of patients.Assist patients with personal...


  • Conway, Arkansas, United States Reach Therapy Services Llc Full time

    About the RoleWe are seeking a highly skilled Medical Claims Specialist to join our team at Reach Therapy Services LLC. As a Medical Claims Specialist, you will play a critical role in ensuring the smooth operation of our billing and credentialing processes.Key ResponsibilitiesLearn and understand various funding options available for families and educate...


  • Conway, Arkansas, United States Conway Regional Heath System Full time

    Job Summary:The Conway Regional Health System is seeking a highly skilled and detail-oriented Patient Care Coordinator and Scheduling Specialist to join our team. As a key member of our Outpatient Services department, this individual will be responsible for providing exceptional patient care and ensuring seamless scheduling operations.Key...


  • Conway, Arkansas, United States Conway Regional Heath System Full time

    Job SummaryConway Regional Health System is seeking a skilled Certified Nursing Assistant (CNA) to join our team as a Patient Care Specialist. In this role, you will provide high-quality patient care and support to our patients, ensuring their comfort and well-being.Key ResponsibilitiesAssist patients with personal hygiene, nutrition, elimination, and skin...

  • Systems Specialist

    3 weeks ago


    Conway/Arkansas/US SQUAN Full time

    Overview: TITLE:                                 Accounts Receivable Specialist DEPARTMENT (S):           Accounting DIRECT REPORTs:            NoneDuration: Permanent, On-Site Monday-Friday 8:00am-5:00pm Potential candidates must be authorized to work in the United States and must be U.S citizen. POSITION SUMMARYWe are...


  • Conway, United States Conway Medical Center Full time

    Position Summary: The Medical Staff Credentialing Specialist (MSCS) works with Director of Medical Staff Services to keep all provider credentialing up to date and processes all new provider credentialing for Conway Medical Center (CMC). The MSCS works with CMC Medical Staff office in addition to CPG Administrative office to ensure physician licenses,...


  • Conway, United States Conway Medical Center Full time

    Position Summary: The Medical Staff Credentialing Specialist (MSCS) works with Director of Medical Staff Services to keep all provider credentialing up to date and processes all new provider credentialing for Conway Medical Center (CMC). The MSCS works with CMC Medical Staff office in addition to CPG Administrative office to ensure physician licenses,...


  • Conway, South Carolina, United States Pacific Companies Full time

    Pacific Companies is seeking a highly skilled Endocrinology Physician to join our team.About the Role:We are looking for a medical specialist with expertise in endocrinology to provide high-quality patient care and contribute to the growth of our healthcare services.The successful candidate will have a strong background in internal medicine and a passion for...


  • Springdale, Arkansas, United States Regency Hospital - NW Arkansas Springdale Full time

    Job SummaryWe are seeking a skilled Medical Support Specialist to join our team at Regency Hospital - NW Arkansas Springdale. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and support to our patients and their families.Key ResponsibilitiesProvide basic patient care and support, including bathing, oral...


  • Springdale, Arkansas, United States Regency Hospital - NW Arkansas Springdale Full time

    Job SummaryWe are seeking a skilled Medical Support Specialist to join our team at Regency Hospital - NW Arkansas Springdale. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and support to our patients and their families.Key ResponsibilitiesProvide basic patient care and support, including bathing, oral...


  • Arkansas City, Kansas, United States Connected Health Care Full time

    **Job Summary**Connected Health Care is seeking a skilled Medical Laboratory Specialist to join our team. As a Medical Laboratory Specialist, you will play a critical role in ensuring the accuracy and reliability of laboratory test results.**Key Responsibilities**Perform a variety of laboratory tests and procedures to analyze patient samples and provide...


  • Arkansas, United States Arkansas Blue Cross and Blue Shield Full time

    To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click .Applicants must be eligible to begin work on the date of hire. Applicants must be currently authorized to work in the United States on a full-time basis. ARKANSAS BLUE CROSS BLUE SHIELD will NOT sponsor applicants for work visas in this position.Remote Work...


  • Arkansas, United States Arkansas Blue Cross and Blue Shield Full time

    To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click .Applicants must be eligible to begin work on the date of hire. Applicants must be currently authorized to work in the United States on a full-time basis. ARKANSAS BLUE CROSS BLUE SHIELD will NOT sponsor applicants for work visas in this position.Remote Work...


  • Conway, Arkansas, United States Conway Regional Heath System Full time

    Job Summary:The Diagnostic Ultrasound Technologist is a vital member of the Conway Regional Health System team, responsible for performing a variety of specialized technical tasks in Diagnostic Ultrasound. This role requires the utilization of high frequency sound waves to assist medical and professional personnel in detecting anatomical abnormalities while...


  • Conway, Arkansas, United States Conway Regional Heath System Full time

    Position Summary:This role is pivotal in delivering exceptional support to healthcare facilities, medical professionals, and their teams within a dynamic and demanding atmosphere. Interactions with clients may occur via telephone, email, or fax.Key responsibilities encompass:Communicating laboratory results to authorized personnel over the phone.Addressing...


  • Arkansas, United States Arkansas Blue Cross and Blue Shield Full time

    To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click.Applicants must be eligible to begin work on the date of hire. Applicants must be currently authorized to work in the United States on a full-time basis. ARKANSAS BLUE CROSS BLUE SHIELD will NOT sponsor applicants for work visas in this position.Remote Work...