Prior Authorization Specialist - Prior Authorization - Full time
About The Position
The Prior Authorization Specialist is an advocate for the patient's medical needs and financial health as they facilitate the process from provider through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care as they secure payer authorization for medical services and optimize patient health outcomes by minimizing interruptions to ongoing treatments due to payer coverage restrictions or denials. The Prior Authorization Specialist minimizes the patient's financial risk with a thorough review of the health plan benefits and coverage restrictions, proactively advising the provider and patient of any authorization delay or denial.
Requirements
- Previous experience working in a healthcare setting preferred.
- Experience with EPIC preferred.
- Bilingual in Spanish preferred.
- Equivalent combinations of experience and education may be considered.
Responsibilities
- Facilitate the process from provider through payer to patient for timely health care diagnostics and treatments.
- Secure payer authorization for medical services.
- Optimize patient health outcomes by minimizing interruptions to ongoing treatments due to payer coverage restrictions or denials.
- Minimize the patient's financial risk with a thorough review of the health plan benefits and coverage restrictions.
- Proactively advise the provider and patient of any authorization delay or denial.
Benefits
- Continuing education
- Professional development
- Tuition assistance
- Healthcare as low as $46 per month
- Additional 50% off of all AVH services for you AND your family
- All preventative services covered at 100%, zero copay
- Virtual and robust mental health resources available
- Up to 22 days PTO within your first year
- PTO rollover
- Bereavement Leave that covers miscarriages, extended family, and pets
- Robust Paid Medical and Family Leave (Weeks 1-6 paid at 100% for parental or personal illness/injury)
- Automatic enrollment into the 457b plan at 6%
- AVH matches 50% of your 457b contributions up to a max of 3% of earnings each pay period into our 401a plan
- AVH contributes 7.5% of your annual salary each year to the Cash Balance Pension Plan (in lieu of Social Security)
- Housing assistance resources
- Employee referral bonuses
- Discounted ski passes
- Transportation discounts
- Carpool incentives
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
