Pa Jobs in Orange County

About The Position

Requirements

• High school diploma or equivalent required
• Minimum of 1 year of medical office and EHR experience
• Prior authorization experience required
• Strong communication, organization, and customer service skills
• Attention to detail and ability to prioritize tasks effectively
• Ability to work independently with minimal supervision

Responsibilities

• Obtain prior authorizations and pre-certifications for medications, procedures, and specialty services
• Verify insurance benefits and identify authorization requirements as needed
• Monitor authorization status and follow up to prevent delays in patient care
• Communicate with patients, providers, pharmacies, and insurance companies regarding authorization requirements and updates
• Accurately document authorization and benefit information in the EHR and practice management system
• Maintain current knowledge of payer guidelines and authorization processes
• Collaborate with clinical and front office staff to coordinate patient care efficiently
• Communicate workflow updates and payer changes to appropriate team members
• Participate in departmental meetings and training sessions
• Assist with onboarding and cross-training of team members as requested
• Maintain compliance with HIPAA regulations and safeguard Protected Health Information (PHI)
• Perform other duties as assigned

Benefits

• Group Health, Dental, and Vision coverage
• FSA and HSA options
• Generous Paid Time Off (PTO)
• 401(k) Retirement Plan with employer matching
• Company-paid Life, Short-Term and Long-Term Disability
• Competitive pay