Patient Support - Prior Authorization Specialist
The Onyx Group
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- Location
- Greenville, SC
- Work style
- On-site
- Job type
- Full time, Temporary, Contractor
- Posted
- Oct 27
- 1 day ago
Career path
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About the company
The Onyx Group
Health, wellness and fitness · 51 to 200 employees
What you'll do
- Initiate and facilitate prior authorizations for surgeries, obstetrical care, medications, and imaging
- Facilitate Medicaid pregnancy notifications and sterilization consents
- Respond to prior authorization requests and communicate with ordering providers
- Update patients on prior authorizations and return their calls
- Ensure patients, families, and team members experience the “Tribe Way”
What you need
- Minimum education requirement: High School Diploma or GED.
- Minimum of 1 year of experience working inthe medical field. Experience facilitating prior authorizations preferred.
- Education: a high school diploma
Key skills
prior authorizationsinterpersonal and communicationcustomer serviceExpert computer skillstyping
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Read the full posting here
Job Title
:
Prior Authorization Specialist
Weekly Hours:
Full-Time, 40 hours/week
Supervised by
:
Manager, Business Operations
Location:
Pelham Place, In Person
Overview
:
Responsible for managing prior authorizations for
Parkside OB-GYN
,
including, surgeries, medications, diagnostic imaging, and
obstetric
care. Initiating prior authorizations when orders are placed
or upon
request
from
specialty office
s
, pharmac
ies
, or patient
s
. Communicating with patients
by phone regarding the status of their authorizations and collaborating closely with the referrals, surgery scheduling, administrative, and clinical teams to ensure all authorizations are completed accurately and efficiently.
Responsibilities
:
Initiating
, creating,
and facilitating the prior authorization process for
surgeries, c-sections, obstetrical care, medications, and diagnostic imaging.
Initiating, creating, and facilitating Medicaid pregnancy notifications and Medicaid sterilization consents.
Responding to any telephone encounter
or patient message
requests for prior authorization and communicating with the ordering provider as necessary.
Communicating updates regarding PAs with patients as necessary and returning phone calls from patients with questions about their prior authorization.
Other duties as assigned.
Takes ownership of ensuring the “Tribe Way” is experienced by patients, families, and team members. Promotes an authentic, transparent work environment within all areas.
Required Education & Certifications
:
Minimum education requirement: High School Diploma or GED.
Minimum of 1 year of experience working in
the medical field. Experience facilitating prior authorizations preferred.
Excellent interpersonal and communication (oral and written) skills with customer service focus required.
Expert computer skills and typing.
Work environment and Physical Demands
:
Requires sitting, standing, and walking associated with a normal physician office environment. Person may be exposed to fumes, airborne particles, infectious diseases, blood/bodily fluids, and disease-bearing specimens.
Tribe 513 is an Equal Opportunity Employer