Medication Access Coordinator: Prior Authorization Expert

100 Lawrence Memorial Hospital; United States; On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Tuition reimbursement

Professional development

Excellent benefits

Job summary

LMH Health in United States is seeking a Medication Prior Authorization Specialist to coordinate insurance prior authorizations for prescribed medications. The role requires monitoring work queues and obtaining necessary information to secure approvals.

Responsibilities include communicating with patients, providers, and insurers; providing required clinical data; and maintaining proficiency with the EMR and insurance portals. On-site work with competitive benefits is offered.

Qualifications

• High School Diploma required.
• One year of practice-based experience or in a similar healthcare setting preferred.

Responsibilities

• Monitor prior authorization work queues and verify patient insurance eligibility.
• Obtain and document prior authorizations from insurance companies via online, fax, and phone.
• Provide required clinical information to secure authorizations and communicate updates to patients and providers as needed.
• Escalate complex cases to supervisor for guidance.
• Maintain familiarity with the EMR system and insurance portals.

Education

High School Diploma

Job description

LMH Health in United States is seeking a Medication Prior Authorization Specialist to coordinate insurance prior authorizations for prescribed medications. The role requires monitoring work queues and obtaining necessary information to secure approvals.

Responsibilities include communicating with patients, providers, and insurers; providing required clinical data; and maintaining proficiency with the EMR and insurance portals. On-site work with competitive benefits is offered.