Acute Care Prior Authorization Specialist

ContinuumRx; Knoxville (TN); Vor Ort; USD 42.000 - 64.000; Vollzeit

Zusammenfassung

ContinuumRx in Knoxville is seeking an Acute Prior Authorization Specialist - Specialty who will review and process prior authorization requests for acute medical services, ensuring timely approvals while maintaining HIPAA compliance. You will collaborate with healthcare providers, intake and clinical teams, and payers to navigate complex requirements and gather supporting documentation.

The role emphasizes accurate documentation, organized tracking, and proactive communication to reduce care

Qualifikationen

• High school diploma or GED required.
• Knowledge of medical terminology preferred.
• Excellent organizational and communication skills.
• Ability to work independently and manage workload.

Aufgaben

• Review and process requests for prior authorization to completion.
• Coordinate with intake and clinical teams to identify authorizations.
• Assist with obtaining authorizations for specialty therapies.
• Verify supporting documentation and payer requirements.
• Document authorizations, deadlines, and notes in the patient record.
• Communicate denials and perform timely follow-up.

Kenntnisse

Verbal and written communication

Organizational skills

Independent work

Attention to detail

HIPAA compliance

Ausbildung

High School Diploma or GED

Jobbeschreibung

ContinuumRx in Knoxville is seeking an Acute Prior Authorization Specialist - Specialty who will review and process prior authorization requests for acute medical services, ensuring timely approvals while maintaining HIPAA compliance. You will collaborate with healthcare providers, intake and clinical teams, and payers to navigate complex requirements and gather supporting documentation.

The role emphasizes accurate documentation, organized tracking, and proactive communication to reduce care