Prior Authorization Specialist

Geode Health

1d•$24 - $27•Remote

About The Position

Geode Health is a rapidly growing, national provider of outpatient mental health services. Our Mission is to “Transform mental health by making it more accessible, affordable and effective”. We are looking for a passionate Prior Authorization Specialist. The ideal candidate will be motivated by joining a quickly growing organization and excited to help us improve the care experience for patients and providers. The Prior Authorization Specialist is a multi-skilled worker focused on obtaining necessary prior authorizations from insurance companies. This role acts as a key team player when interacting and communicating with patients and/or clinical staff in the ambulatory care environment. Most importantly, we’re looking to bring someone onto our team who is excited about our mission to improve mental healthcare across the country. This is a part-time role working 20 hours per week, Monday - Friday from 9am - 1pm CST.

Requirements

Excellent communication skills and ability to work well with a team
Knowledge of medical terminology, insurance terminology, and billing practices
High school diploma or equivalent required

Nice To Haves

At least one year of experience working in a medical office and/or mental health
Experience working with prior authorization on medications
Ability to maintain professional appearance and demeanor, and interface well with patients in a mental health setting
Associate’s or bachelor’s degree preferred
Some experience in healthcare settings or insurance verification is highly desirable
Knowledge of working in a clinical setting

Responsibilities

Initiates prior authorization requests with insurance companies by submitting necessary documentation and medical records
Follows up on prior authorization requests, providing additional information as required and ensuring timely approvals for medications
Establishes clear communication channels on prior authorization status and insurance coverage information to patients, support staff, and providers
Maintains accurate records of prior authorization requests and insurance communications
Serves as a liaison between providers, patients, and insurance companies to facilitate smooth communication and resolve any issues that may arise
Secures patient information and maintains patient confidence by completing and safeguarding medical records
Serves and protects the practice by adhering to professional standards
Responds to verbal and electronic requests for information and assistance using proper policies, reference tools, and provider instructions
Maintains a safe, secure, and healthy work environment by establishing and following standards and procedures and complying with legal regulations
Demonstrates knowledge of emergency procedures and assists in crisis situations
Understands clinic policies and procedures
Maintains client HIPAA rights and other protections of confidentiality and privacy
Ensures prompt, accurate, and efficient handling of documents for filing and scanning
Copies/scans/faxes/emails information as required
Completes all other relevant responsibilities as assigned by the supervisor

Benefits

Competitive compensation
Flexible schedule
In-person and virtual patient visits
Comprehensive admin support (front office, accounting, finance, payroll, HR, etc)
Professional development opportunities
Clinical community, support, and leadership
Medical, dental and vision benefits
Life insurance
Short and long-term disability
Paid vacation and holidays
Matching 401k plan
State of the art technology