Prior Authorization Specialist - Vein Institute

This position is 100% onsite and does not qualify for a hybrid or remote schedule

RESPONSIBILITIES

Job Specific Competencies :

Completes each prior authorization reference encounter in an efficient, standardized, and accurate manner.

Demonstrates professionalism and provides exemplary customer service with each encounter to both internal and external customers.

Demonstrates exceptional organizational skills.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting JCMG's corporate integrity efforts by acting in an ethical and appropriate manner.

Employee to discuss pre-collections with patients.

Scheduling appointments once benefits, eligibility and authorizations for surgery are confirmed.

Experience in a medical practice interacting with patients.

Employee to be cross-trained to also cover front desk and Medical Assistant duties.

JCMG Core Competencies :

Strives for continuous quality improvement.

Participates in educational experiences designed to maintain and / or improve professional competence.

Maintains high work ethic standards.

Provides quality customer service to staff, patients and visitors at all times.

MINIMUM QUALIFICATIONS

Education :

High school diploma or GED

Experience :

Minimum of 1 year experience in managed care or medical office environment

Proficient in Microsoft Word / Excel, online Portals

Certification / License :

N / A

Knowledge / Skills / Abilities :

Knowledge of Managed Care contracts / plans

Medical terminology

Excellent organizational skills, written and oral communication and customer service

Strong teamwork and collaborative skills

Ability to multi-task and work independently

Attention to detail

Must have knowledge of office equipment and computers

WORK ENVIRONMENT

Works in heated and air-conditioned centralized prior authorization and referral office setting with multiple other staff members.

BENEFITS

Health insurance & employer paid short- and long-term disability

Generous PTO policy, beginning at 148-hours annually

56 hours paid Holiday Leave

Employer Retirement Plan (401K) with employer match

Tuition reimbursement and other professional advancements, including a Medical Assistant training program

Pay Range :

$16.27 - $19.93 per hour