Authorization Navigator for Patient Care

Silver Pine Medical Group; Sterling Heights (MI); On-site; USD 42,000 - 62,000; Full time

Job summary

Silver Pine Medical Group seeks a detail‑oriented Prior Authorization Specialist to obtain pre-approvals from insurance providers for medications and treatments. You will verify coverage, prepare and submit requests, and coordinate with clinicians to ensure timely approvals while protecting patient privacy.

The role emphasizes accuracy, strong communication, and adherence to HIPAA, with responsibilities spanning patient updates and documentation in EHRs and access logs.

Qualifications

• Proficiency with medical coding basics (ICD-10/CPT).
• Ability to interpret physician orders and patient data.
• Experience handling prior authorization workflows.

Responsibilities

• Review orders and records to support prior authorization requests.

Skills

EHR proficiency

Medical terminology

ICD-10 CPT knowledge

Strong communication

Organizational skills

Teamwork & independence

Education

High School Diploma or Equivalent

Medical Assistant Certification (optional)

Tools

Electronic Health Records (EHR) systems

Cover My Meds

Access Log

Job description

Silver Pine Medical Group seeks a detail‑oriented Prior Authorization Specialist to obtain pre-approvals from insurance providers for medications and treatments. You will verify coverage, prepare and submit requests, and coordinate with clinicians to ensure timely approvals while protecting patient privacy.

The role emphasizes accuracy, strong communication, and adherence to HIPAA, with responsibilities spanning patient updates and documentation in EHRs and access logs.