Prior Authorization Representative

Job Description

Job Description

Prior Authorization Representative

MFM Health is looking for a diligent and detail-oriented Prior Authorization Representative to join our team. This in office full-time role is dedicated to managing prior authorizations for diagnostic services, medications, and treatments to ensure timely patient care. The ideal candidate will bring experience in prior authorizations, strong organizational skills, and the ability to work independently within a collaborative healthcare setting.

What We Offer :

• Enhanced Benefits Package :   Enjoy a comprehensive benefits package that includes discretionary paid time off to ensure a healthy work-life balance and a 401(k) plan with employer match.
• Professional Growth Environment :   At MFM Health, we are committed to your professional development. We offer continuous opportunities for learning and career advancement in a supportive and collaborative environment.

Key Responsibilities :

Submit and track prior authorization requests for prescribed medical services, i.e., diagnostic imaging and genetic testing.

Review patient insurance plans to confirm coverage and authorization requirements for specific services.

Record all prior authorization activities in the electronic health record (EHR), maintaining accurate and detailed notes.

Communicate effectively with patients to inform them of the authorization process, status updates, and any expected timelines.

​​​​​​​ Contribute to process improvement initiatives to streamline prior authorization workflows and reduce turnaround times.

Schedule :

Pay Rate :   $20 to $24 per hour

Education :

Experience :

Skills :

Physical Requirements :

About MFM Health

Our mission at MFM Health is to Make Lives Meaningfully Better. We are continually expanding our practice to provide quality, comprehensive, and compassionate care to patients on the North Shore and beyond. We are committed to hiring passionate individuals who are motivated to succeed in a collaborative, patient-centric culture. We pride ourselves on our commitment to excellence, offering services 365 days a year, drive-thru healthcare, and on-site specialty teams and ancillary services.

At MFM Health, we offer excellent benefits, top-notch training, and a vibrant work environment. We believe in celebrating our employees' successes and regularly gather for company-wide parties and events to foster strong team connections. Join us as we continue to grow, investing in our people, programs, and technology to deliver legendary patient service and further our reputation as the provider, practice, and employer of choice!

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