Patient Support - Prior Authorization Specialist
Tribe513
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- Location
- Greenville, SC
- Work style
- On-site
- Job type
- Contractor, Temporary
- Posted
- Oct 26
- 1 day ago
Career path
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About the company
Tribe513
Medical practice · 201 to 500 employees
What you'll do
- Initiate and facilitate prior authorizations for surgeries, c-sections, obstetrical care, medications, and diagnostic imaging
- Facilitate Medicaid pregnancy notifications and Medicaid sterilization consents
- Respond to prior authorization requests from telephone encounters or patient messages
- Communicate with the ordering provider as necessary
- Update patients about prior authorizations and return their calls with questions
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 authorizationscommunicationcustomer servicecomputer 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