Prior Authorization Pro — Fast-Paced Medical Clinic

Western Vascular Institute; Mesa (AZ); In loco; USD 48.000 - 64.000; Tempo pieno

Vantaggi offerti da questo lavoro

401(k) with matching

Health, dental, vision, and life ins.

Disability insurance

Paid time off & paid sick time

Supportive and collaborative team

Descrizione del lavoro

Western Vascular Institute is seeking a Full-Time Prior Authorization Specialist to join our fast-paced vascular clinic. You will manage insurance authorizations for surgical procedures, imaging, and other services, while collaborating with physicians, staff, and patients to minimize delays in care.

Ideal candidates have 2+ years of prior authorization experience in a medical setting, strong insurance knowledge, and proficiency with EMR systems (NextGen preferred).

Competenze

• 2+ years of prior authorization experience in a medical setting
• Strong understanding of medical terminology and insurance processes
• Knowledge of Medicare, Medicare Advantage, and commercial plans
• Experience with surgical authorizations or vascular services preferred
• Proficient with EMR systems and payer portals; NextGen experience preferred
• Excellent communication and interpersonal skills
• Strong organizational and multitasking abilities with attention to detail
• Ability to work independently or as part of a team
• Discretion with confidential patient information

Mansioni

• Obtain, submit, and track prior authorizations for procedures and imaging
• Verify patient insurance eligibility, benefits, and coverage requirements
• Prepare and submit clinical documentation to meet payer requirements
• Monitor pending authorizations and follow up for timely approvals
• Coordinate peer-to-peer reviews, reconsiderations, and appeals as needed
• Communicate authorization statuses with physicians, staff, and patients
• Identify and resolve authorization barriers and missing documents
• Maintain accurate authorization records in EMR and payer portals
• Stay updated on changing payer guidelines and authorization requirements
• Prioritize requests based on procedure dates and patient needs
• Nurture relationships with physicians, staff, and insurance representatives

Conoscenze

Prior Authorization

Medical terminology

Insurance verification

Communication skills

Organizational skills

Teamwork

Problem-solving

Attention to detail

Independence

Strumenti

EMR systems

NextGen

Descrizione del lavoro

Western Vascular Institute is seeking a Full-Time Prior Authorization Specialist to join our fast-paced vascular clinic. You will manage insurance authorizations for surgical procedures, imaging, and other services, while collaborating with physicians, staff, and patients to minimize delays in care.

Ideal candidates have 2+ years of prior authorization experience in a medical setting, strong insurance knowledge, and proficiency with EMR systems (NextGen preferred).