Clinical Prior Authorization Specialist

Troy Gastroenterology P.C; Rochester (MI); On-site; USD 36,000 - 60,000; Full time

Benefits offered by this job

Competitive pay rates

Paid time off prorated from start date

Paid holidays with 2 floating holidays

Life & Disability benefits

401k retirement plan with companymatch

Job summary

Pinnacle GI Partners is seeking a detail-oriented medical administrative professional in Michigan to manage prior-authorization processes, schedule tests and procedures, and prepare orders for a range of specialty services. This role supports physicians and care teams, ensuring timely access to medications and procedures.

The ideal candidate will have strong medical terminology knowledge, solid EMR documentation skills, and excellent communication abilities.

Qualifications

• Strong knowledge of medical terminology.
• Demonstrated computer skills for documenting patient care in an EMR.
• Ability to communicate effectively in person, on the telephone, and in writing.
• Ability to work independently and as a team.
• Ability to read and comprehend patient medical charts, medical terminology, prescription medications, and physician messages.
• Ability to multi-task.

Responsibilities

• Obtain prior-authorization for medications, including specialty and Hepatitis B & C medications.
• Obtain prior-authorization for radiology, CT/US Guided biopsies, Paracentesis and Capsule Endoscopies.
• Schedule, review and mail instructions and medications needed for specialty procedures.
• Prepare orders for CT/US Guided Biopsies, Paracentesis, Pelvic Floor Therapy, Speech Therapy, Therapeutic Phlebotomy, Blood Transfusion and fax to facility.
• Arrange and perform teachings for fecal transplant patients.
• Arrange and seek prior-authorization for Home Care.

Skills

Medical terminology

EMR documentation

Communication skills

Independent & team player

Reading medical charts

Multitasking

Tools

EMR software

Job description

• Obtain prior-authorization for medications, including specialty and Hepatitis B & C medications.
• Obtain prior-authorization for radiology, CT/US Guided biopsies, Paracentesis and Capsule Endoscopies.
• Schedule, review and mail instructions and medications needed for specialty procedures.
• Prepare orders for CT/US Guided Biopsies, Paracentesis, Pelvic Floor Therapy, Speech Therapy, Therapeutic Phlebotomy, Blood Transfusion and fax to facility.
• Arrange and perform teachings for fecal transplant patients.
• Arrange and seek prior-authorization for Home Care.

What we are looking for

• Strong knowledge of medical terminology
• Demonstrated computer skills for documenting patient care in an electronic medical record
• Ability to communicate effectively in person, on the telephone, and in writing
• Ability to work independently and as a team
• Ability to read and comprehend patient medical charts, medical terminology, prescription medications, and physician messages
• Ability to multi-task

What we offer

• A professional work environment where you can learn, enhance your skills and grow in new opportunities.
• Competitive pay rates
• A generous paid time of package prorated from your start date to the end of the year.
• paid holidays with 2 bonus paid floating holidays ea. year
• Life & Disability benefits
• 401k retirement plan with company match

Pinnacle GI Partners is an equal opportunity employer. We participate in E-Verify for residency verification after hire. To learn more about our company please visit https://pinnaclegipartners.com.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.