Virtual Prior Authorization Specialist

Are you a highly organized individual with excellent interpersonal skills? Join our team! We’re hiring a virtual prior authorization specialist to join our Neurology practice! The ideal candidate will have experience with eClinicalWorks EMR and will be responsible for managing prior authorization requests to ensure timely and accurate approval of services and medications for our patients.

Responsibilities:
• Manage Prior Authorizations: Process and follow up on prior authorization requests for medical services and medications using eClinicalWorks EMR.
• Verify Insurance Coverage: Confirm patient insurance coverage and benefits to determine the need for prior authorization.
• Document and Track Requests: Accurately document all prior authorization activities and maintain comprehensive records in the EMR system.
• Communicate with Providers: Collaborate with healthcare providers and insurance companies to resolve authorization issues and obtain necessary approvals.
• Patient Support: Provide patients with updates on the status of their prior authorization requests and address any questions or concerns they may have.
• Compliance: Ensure compliance with all relevant regulations, policies, and procedures related to prior authorizations.
Continuous Improvement: Stay updated on industry trends and best practices to improve the efficiency and effectiveness of the prior authorization process.

Requirements:
• HIPAA-trained and HIPAA-compliant
• Previous experience in a medical office setting required.
• Experience with managing and obtaining prior authorizations for patient care, ensuring seamless service delivery.
• Proficiency in computer systems and software, with experience in electronic medical records (EMR) systems.
• Excellent communication and interpersonal skills
• Ability to multitask and prioritize tasks effectively.
• PH Graveyard shift – Monday – Friday 7:30 – 4:30 US Central Time Zone

Systems in Place:
• EMR: eClinicalWorks (ECW)
• Office 365
• Phones System: Cisco Webex

Apply now to become a part of our mission to provide exceptional Headache and Migraine care!

To Apply:
Include a link to your resume/CV as well as include the text: “MigraineFree” in your subject. Additionally, write a few sentances as to why you would be an ideal candidate for this job.