Patient Support - Prior Authorization Specialist

Tribe 513 • Greenville, SC

14d • Onsite

About The Position

The Prior Authorization Specialist manages prior authorizations for Parkside OB-GYN, including surgeries, medications, diagnostic imaging, and obstetric care. The role initiates authorizations when orders are placed or when requested by specialty offices, pharmacies, or patients. It communicates authorization status to patients by phone and collaborates with referrals, surgery scheduling, administrative, and clinical teams to complete authorizations accurately and efficiently. The position also supports Medicaid pregnancy notifications and Medicaid sterilization consents and promotes an authentic, transparent work environment consistent with the “Tribe Way.”

Requirements

• High school diploma or GED.
• At least 1 year of experience working in the medical field.
• Excellent interpersonal and oral and written communication skills, with a customer service focus.
• Expert computer skills and typing.

Nice To Haves

• Experience facilitating prior authorizations.

Responsibilities

• Initiate, create, and facilitate prior authorizations for surgeries, C-sections, obstetrical care, medications, and diagnostic imaging.
• Initiate, create, and facilitate Medicaid pregnancy notifications and Medicaid sterilization consents.
• Respond to telephone encounters and patient message requests concerning prior authorizations, communicating with the ordering provider as necessary.
• Provide patients with authorization updates as needed and return calls from patients with questions about their prior authorizations.
• Take ownership of ensuring the “Tribe Way” is experienced by patients, families, and team members.
• Promote an authentic, transparent work environment throughout all areas.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED