Certified Medical Assistant Prior Authorization Specialist

4 weeks ago


Morristown, New Jersey, United States Atlantic Health System Full time

Job Summary

We are seeking a skilled Medical Prior Authorization Specialist to support our team at Atlantic Health System. The ideal candidate will be responsible for obtaining prior authorization for all obstetrical patients, medication authorizations, and medical procedure authorizations from insurance companies.

Key Responsibilities

  • Initiate and manage the prior authorization process for all obstetrical patients and gynecological patients.
  • Communicate effectively with internal departments and insurance companies to obtain necessary authorization.
  • Gather and organize patient medical records, treatment plans, and other relevant documentation required for authorization.
  • Ensure all documentation provided meets insurance company requirements and guidelines.
  • Collaborate with providers to obtain additional information or clarification as needed.
  • Schedule and facilitate peer-to-peer reviews between providers and insurance company medical directors.
  • Document all communication and actions taken throughout the authorization process accurately and thoroughly.
  • Monitor the progress of authorization requests and follow up as necessary to expedite approvals.
  • Stay updated on changes in insurance policies, guidelines, and procedures related to prior authorizations.
  • Provide support and guidance to providers and staff regarding prior authorization requirements and processes.

Requirements

  • National Certification from an accredited Medical Assistant Program.
  • Current BLS.
  • Womens Health Experience Required.
  • Prior experience working in a medical office or healthcare setting, preferably in a role involving prior authorizations.
  • Strong understanding of medical terminology, procedures, and pharmaceuticals.
  • Excellent communication skills, both verbal and written, with the ability to effectively interact with insurance companies, healthcare providers, and patients.
  • Detail-oriented and organized, with the ability to manage multiple tasks and prioritize workload effectively.
  • Proficient computer skills, including experience with electronic medical records Epic systems and Microsoft Office Suite.
  • Ability to work independently and as part of a team in a fast-paced environment.
  • Familiarity with insurance company policies and procedures related to prior authorizations is a plus.

About Atlantic Health System

Atlantic Health System is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania. Our mission is to deliver exceptional care recognizing the unique needs of all those we serve. Our vision is to achieve the best outcomes with our patients at the center of the physician-led team, driven by service, innovation and continuous learning.



  • Morristown, New Jersey, United States Atlantic Health System Full time

    Job Summary:We are seeking a skilled Medical Prior Authorization Specialist to support our team in delivering exceptional care to our patients. The ideal candidate will be responsible for obtaining prior authorization for all obstetrical patients, medication authorizations, and medical procedure authorizations from insurance companies.Key...


  • Morristown, New Jersey, United States Atlantic Health System Full time

    We are seeking a skilled Medical Prior Authorization Specialist to support our team in delivering exceptional care to our patients.The ideal candidate will be responsible for obtaining prior authorization for all obstetrical patients, medication authorizations, and medical procedure authorizations from insurance companies.This role involves coordination with...


  • Morristown, New Jersey, United States Atlantic Health System Full time

    Job SummaryWe are seeking a skilled Medical Prior Authorization Specialist to play a critical role in our team. The ideal candidate will be responsible for obtaining prior authorization for all obstetrical patients, medication authorizations, and medical procedure authorizations from insurance companies.Key ResponsibilitiesCoordinate with various departments...


  • Morristown, New Jersey, United States Spring Hills Morristown Full time

    Job Title: Certified Medication Aide CMAJoin our team at Spring Hills Morristown, a leading provider of senior care services, as a Certified Medication Aide CMA. In this role, you will play a vital part in ensuring the health and well-being of our residents by providing assistance with their activities of daily living and administering medications as...


  • Morristown, New Jersey, United States Integral Home Care Full time

    Job SummaryWe are seeking a compassionate and skilled Certified Home Health Aide to join our team at Integral Care Home Care. As a patient care specialist, you will provide high-quality care to clients in their homes, promoting their physical and emotional well-being.Key Responsibilities:Assist with toileting and personal hygieneProvide skin care to maintain...


  • Morristown, New Jersey, United States Atlantic Health System Full time

    Job Summary:We are seeking a Certified Nursing Assistant to join our team at Atlantic Health System. As a Certified Nursing Assistant, you will work alongside physicians and nurses to provide direct patient care and support nursing personnel in their daily tasks.Responsibilities:Assist patients with daily activities, such as bathing, dressing, and...


  • Morristown, New Jersey, United States Serenity Hospice Care Full time

    Serenity Hospice Care is seeking a dedicated and compassionate Certified Home Health Aide to provide high-quality care to patients in the Morris area.Responsibilities:Care for patients in the facility as needed.Assist with activities of daily living.Follow care plans and deliver the highest level of care.Collaborate with interdisciplinary team.Communicate...


  • Morristown, New Jersey, United States OneStaff Medical Full time

    X-ray Imaging SpecialistWe are OneStaff Medical, a nationally-recognized and independently-owned staffing firm dedicated to helping medical professionals find their dream assignments. As a X-ray Imaging Specialist, you will play a crucial role in visualizing the inside of the human body using cutting-edge imaging methods. Your expertise will help physicians...

  • Medical Specialist

    4 weeks ago


    Morristown, New Jersey, United States Enterprise Medical Recruiting Full time

    Enterprise Medical Recruiting OpportunityWe are assisting a private Neurology group in Morristown, NJ to recruit a new Neurologist. This is a 100% outpatient practice, offering a great work-life balance with no after-hours or weekend calls.Key Highlights:100% outpatient practiceFlexibility and great work-life balanceNo after-hours or weekend callsAbout the...


  • Morristown, New Jersey, United States Atlantic Health System Full time

    Job SummaryWe are seeking a skilled Phone Associate to join our team at Atlantic Health System. As a key member of our medical office staff, you will be responsible for managing phone calls, verifying insurance coverage, and maintaining schedules in our electronic medical record (EMR) system.Key ResponsibilitiesManage phone calls and respond to patient...


  • Morristown, New Jersey, United States Mental Health Association Full time

    Job DescriptionAs an Administrative Assistant at Mental Health Association, you will play a vital role in supporting the day-to-day operations of our program. Your primary responsibilities will include:Providing exceptional customer service to clients and staff, responding to phone calls, and handling mail and correspondence.Managing office supplies,...


  • Morristown, New Jersey, United States Immediate Care Walk-In Management LLC Full time

    Job Summary We are seeking a skilled Medical Office Nurse to join our team at Immediate Care Walk-In Management LLC. As a key member of our healthcare team, you will work closely with our providers and patients to deliver exceptional patient care. Responsibilities • Escort patients to exam rooms and interview them to gather vital information • Measure...


  • Morristown, New Jersey, United States Atlantic Health System Full time

    Job SummaryWe are seeking a highly skilled Medical Office Associate I to join our team in the Western Region. This per-diem position will provide coverage for various practices within the region.Key ResponsibilitiesManage phone calls and greet patients in a professional manner.Schedule and confirm appointments, ensuring seamless communication with patients...


  • Morristown, New Jersey, United States US Tech Solutions Full time

    Job Title: Insurance Risk Management SpecialistJob Summary: We are seeking an experienced Insurance Risk Management Specialist to join our team at US Tech Solutions. The successful candidate will be responsible for managing various insurance programs, analyzing exposure data, and preparing presentations for renewal submissions.Key Responsibilities:Lead and...


  • Morristown, New Jersey, United States Veritas Veterinary Partners Full time

    Opportunity for Veterinarians in Morristown, NJVeritas Veterinary Partners is seeking experienced Veterinarians to join our team at GSVS Veterinary Emergency Services Morristown in Morristown, New Jersey. This is an exciting opportunity for veterinarians who want to work in a fast-paced emergency setting and provide top-quality medical care to patients...


  • Morristown, New Jersey, United States Medical Solutions Full time

    Are you a skilled RN looking for a new adventure? Medical Solutions is hiring a Labor and Delivery Specialist for a rewarding opportunity in Morristown, NJ.As a travel nurse with Medical Solutions, you'll enjoy a competitive salary, comprehensive benefits, and the support of a dedicated recruiter. Our team is passionate about helping healthcare professionals...


  • Morristown, New Jersey, United States OneStaff Medical Full time

    We are OneStaff Medical, a nationally-recognized and independently-owned staffing firm dedicated to helping medical professionals find their dream assignments. Our team is forged in the Midwest, and we pride ourselves on standing by our candidates' sides every step of the way. If you're a like-minded individual who shares our passion for excellence, we want...


  • Morristown, New Jersey, United States Always Best Care Senior Service Full time

    Job Summary:Always Best Care Senior Service is seeking a qualified Certified Home Health Aide to provide non-medical home care services to seniors in Morris County. As a Home Health Aide, you will assist clients with daily living activities, provide companionship, and maintain a safe and clean environment.Responsibilities:Assist clients with personal care,...


  • Morristown, New Jersey, United States FlexCare Imaging Full time

    FlexCare Imaging is seeking a skilled Radiology Imaging Specialist for a travel opportunity in New Jersey. The ideal candidate will have experience in diagnostic imaging and a strong understanding of radiology techniques.Job Details:Employment Type: TravelShift: 8 hours, daysDuration: 13 weeksBenefits:Competitive salary: $2,218/weekTax-free stipend amount to...


  • Morristown, New Jersey, United States Travelers Insurance Full time

    Job SummaryWe are seeking a skilled Medical Claims Processor to join our team at Travelers Insurance. As a Medical Claims Processor, you will be responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment process.Key ResponsibilitiesProvides quality claim handling...