Clinical Prior Authorization Specialist

Pinnacle GI Partners • Rochester Hills, MI

14h • Onsite

About The Position

This role is responsible for obtaining prior-authorization for various medical services and medications, including specialty drugs, radiology procedures, and home care. The specialist will also schedule, review, and communicate necessary information for procedures, prepare orders, and arrange patient teachings.

Requirements

• Strong knowledge of medical terminology
• Demonstrated computer skills for documenting patient care in an electronic medical record
• Ability to communicate effectively in person, on the telephone, and in writing
• Ability to work independently and as a team
• Ability to read and comprehend patient medical charts, medical terminology, prescription medications, and physician messages
• Ability to multi-task

Responsibilities

• Obtain prior-authorization for medications, including specialty and Hepatitis B & C medications.
• Obtain prior-authorization for radiology, CT/US Guided biopsies, Paracentesis and Capsule Endoscopies.
• Schedule, review and mail instructions and medications needed for specialty procedures.
• Prepare orders for CT/US Guided Biopsies, Paracentesis, Pelvic Floor Therapy, Speech Therapy, Therapeutic Phlebotomy, Blood Transfusion and fax to facility.
• Arrange and perform teachings for fecal transplant patients.
• Arrange and seek prior-authorization for Home Care.

Benefits

• A professional work environment where you can learn, enhance your skills and grow in new opportunities.
• Competitive pay rates
• A generous paid time of package prorated from your start date to the end of the year.
• paid holidays with 2 bonus paid floating holidays ea. year
• Life & Disability benefits
• 401k retirement plan with company match

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: No Education Listed