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Healthcare Authorization Coordinator
2 weeks ago
We are a leading healthcare provider seeking a skilled and detail-oriented individual to fill the role of Prior Authorization Specialist. In this position, you will play a vital part in ensuring patients receive timely access to necessary medical care. You will collaborate closely with medical providers, insurance companies, and patients to navigate the authorization process.
About the Role
This is a full-time first-shift position that offers an excellent work-life balance, comprehensive benefits package, and opportunities for professional growth.
Main Responsibilities:
- Obtain prior authorizations for all oral medications, chemotherapy, surgery, and blood work for all providers in our outpatient clinics.
- Verify eligibility for oral medications, chemotherapy, surgery, and blood work;
- Find and set up financial assistance (copay assistance) for patients;
- Fax all infusion orders to the infusion center;
- Act as the point person if there is an issue with a prior authorization or a code for the hospital;
- Track prior authorizations for expiration dates;
- Manage incoming document bins and assist with the completion of necessary forms;
Requirements:
- High school diploma required
- Prior work experience in an healthcare facility, preferably in a role involving medical billing, insurance verification, and prior authorizations.
- Understanding of medical terminology, insurance procedures, and healthcare billing procedures
- Strong written and verbal communication skills, strong attention to detail, ability to utilize computer programs