Patient Support - Prior Authorization Specialist

Parkside Medical Group | The Onyx Group • 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 specialist initiates authorizations when orders are placed or upon request from specialty offices, pharmacies, or patients. The role communicates with patients by phone about authorization status and collaborates with referrals, surgery scheduling, administrative, and clinical teams to ensure authorizations are completed accurately and efficiently.

The specialist also supports Medicaid pregnancy notifications and Medicaid sterilization consents, responds to patient messages and telephone requests, and coordinates with ordering providers as needed. The role takes ownership of ensuring patients, families, and team members experience the “Tribe Way” and promotes an authentic, transparent work environment.

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 for prior authorization, communicating with the ordering provider as necessary.
• Communicate authorization updates to patients and return calls from patients with questions about their prior authorizations.
• Collaborate with referrals, surgery scheduling, administrative, and clinical teams to ensure authorizations are completed accurately and efficiently.
• Take ownership of ensuring the “Tribe Way” is experienced by patients, families, and team members.
• Promote an authentic, transparent work environment within all areas.
• Perform other duties as assigned.

What This Job Offers

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