Job Description

Prior Authorization Specialist - Endocrinology

Job Ref: 30407
Category: Clerical & Administrative Support
Location:

Main Street, Maynard, MA, Main Street, Maynard, MA 01754

Department: Endocrinology
Schedule: Part Time
Shift: Day shift
Hours: 8-4:30

Job Summary

Reporting to the Office Manager, the Prior Authorization specialist is responsible for obtaining prior authorizations for all medication with all commercial payers.

Minimum Qualifications

• Education
  • High School Diploma or equivalent preferred
• Experience
  • 2 years’ experience in medical field required
  • Medication Prior Authorization experience preferred
  • Knowledge of prior authorization and its direct impact on the practice’s revenue cycle
  •  
• Licensure and/or Certification
  • No licensure required
• Skills
  • Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
  • Proficient use of CPT and ICD-10 codes - Proficiency in the use of computers and basic software applications is necessary.
  • Excellent computer skills including Excel, Word, and Internet use
  • Detail oriented with excellent organizational skills
  • Plans and prioritizes to meet deadlines
  • Communicates clearly and effectively
  • Ability to multitask and manage high-volume, time-sensitive workload independently
  • Ability to be flexible and work within a team-focused, participative management framework is required.
  • Excellent customer service skills.
  • Must be able to read, write, and communicate in English.
  • Ability to maintain confidential information.

Job Tags

Part time, Flexible hours, Shift work, Day shift,

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