Prior Authorization Navigator

Siskiyou Community Health Center, Inc.; Grants Pass (OR); On-site; USD 25,000 - 34,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Health Savings Account (HSA)

Flexible Spending Account (FSA)

403(b) Retirement Plan

Paid Time Off

Holiday & Paid Sick Time

Employee Assistance Program (EAP)

Mercy Flights Membership

Tuition Reimbursement & Professional  

Job summary

Siskiyou Community Health Center, Inc. in Grants Pass, OR is hiring a full-time Prior Authorization Specialist. You will coordinate and obtain authorizations for medications and imaging, and manage referrals to ensure timely patient access to care.

Responsibilities include submitting to CoverMyMeds, communicating with providers and insurers, and documenting all activity in the EHR. The role requires attention to detail, HIPAA compliance, and the ability to multitask in a fast-paced clinic

Qualifications

• High School Diploma or GED required.
• Healthcare/medical admin experience preferred.
• Experience with insurance and prior authorizations preferred.
• Familiarity with CoverMyMeds or similar platforms preferred.

Responsibilities

• Process medication prior authorizations via CoverMyMeds and similar platforms.
• Coordinate prior authorizations for diagnostic imaging.
• Process and track imaging referrals with providers, insurers, and facilities.
• Review requests for accuracy and obtain missing documentation.
• Communicate authorization requirements and follow up on delays.
• Document all activities in the EHR accurately.
• Maintain organized records and prioritize requests.

Skills

Medical terminology

Insurance processes

Prior authorization

EHR familiarity

Time management

Communication

Multitasking

Problem solving

Education

High School Diploma or GED

Tools

CoverMyMeds

EHR systems

Job description

Siskiyou Community Health Center, Inc. in Grants Pass, OR is hiring a full-time Prior Authorization Specialist. You will coordinate and obtain authorizations for medications and imaging, and manage referrals to ensure timely patient access to care.

Responsibilities include submitting to CoverMyMeds, communicating with providers and insurers, and documenting all activity in the EHR. The role requires attention to detail, HIPAA compliance, and the ability to multitask in a fast-paced clinic