Hybrid Prior Authorization Specialist – Clinic + Remote

Sullivan County Community Hospital; Indiana; Hybrid; USD 42,000 - 65,000; Full time

Job summary

Sullivan County Community Hospital in Sullivan, IN is seeking a Hybrid Prior Auth Specialist/Clinic Float. This full-time clerical position blends in-clinic and remote work after a 90-day probation, focusing on medication prior authorizations and related clinic support.

Requirements include graduation from an accredited Medical Assistant program or Nursing licensure in Indiana, with CPR certification. Strong communication and ability to work independently under time constraints are essential.

Qualifications

• Graduate from an accredited Medical Assistant program or approved nursing school.
• Current CPR certification required.
• Proven ability to handle patient inquiries accurately and professionally.

Responsibilities

• Responsible for prior authorizations for medications.
• Process authorizations accurately and timely; perform appeals as needed.
• Back up hospital medication prior authorizations when required.
• Respond promptly to patient needs and provide empathetic resolutions.
• Support clinical projects with information requested by the Clinical Supervisor.
• Fill in as float or phone nurse as deemed necessary by management.

Skills

Practice operations

Clinical experience

Medications knowledge

Cross-training

Customer service

Office equipment

Procedural adaptability

Written and verbal communication

Independent work

Under pressure

Attention to detail

Education

Medical Assistant certification

Nursing licensure (Indiana)

CPR certification

Tools

None

Job description

Sullivan County Community Hospital in Sullivan, IN is seeking a Hybrid Prior Auth Specialist/Clinic Float. This full-time clerical position blends in-clinic and remote work after a 90-day probation, focusing on medication prior authorizations and related clinic support.

Requirements include graduation from an accredited Medical Assistant program or Nursing licensure in Indiana, with CPR certification. Strong communication and ability to work independently under time constraints are essential.