Prior Authorization Specialist

Kintegra Health; Gastonia (NC); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player in health care is looking for a dedicated Prior Authorization Specialist to join their team. This entry-level role involves obtaining pre-authorizations for medications and diagnostics, crucial for ensuring patients receive timely care. The ideal candidate will excel in communication, problem-solving, and teamwork, contributing to a supportive environment focused on patient care. If you're passionate about making a difference in health care and possess strong organizational skills, this opportunity is perfect for you.

Qualifications

• High School Diploma required with previous clinic experience preferred.
• Excellent communication skills and computer proficiency essential.

Responsibilities

• Verify patient insurance eligibility and benefits by contacting carriers.
• Request and track prior authorizations within required timeframes.

Skills

Verbal Communication

Written Communication

Customer Relations

Data Organization

Problem-Solving

Teamwork

Computer Proficiency

Education

High School Diploma

Job description

Join to apply for the Prior Authorization Specialist role at Kintegra Health

Kintegra Health is a community-sponsored, family-centered provider of health care, health education, and preventive care services without regard for the ability to pay. We encourage you to review our current openings and contact us with any questions.

Overview

We are seeking a Prior Authorization Specialist to join our team. Under the supervision of the Customer Care Manager, this role involves obtaining pre-authorizations for medications and diagnostics, scheduling outpatient testing, and coordinating patient orders.

Candidate Qualifications

• Licensure/Certification: None
• Education: High School Diploma required
• Experience: Previous clinic experience preferred
• Skills: Excellent verbal and written communication, customer relations, data organization and interpretation, good judgment, tact, diplomacy, problem-solving, teamwork, computer proficiency
• Physical Requirements: Ability to sit, stand, and walk for long periods; ability to read and understand English; maintain confidentiality

Job Responsibilities

• Verify patient insurance eligibility, benefits, and requirements by contacting insurance carriers
• Request, track, and obtain prior authorizations within required timeframes
• Document all communications and contacts accurately and professionally
• Perform other duties as assigned

Kintegra Health Core Values

• Patient First
• Build not Blame
• Integrity and Honesty
• Cooperation and Flexibility
• Culturally Sensitive

Additional Information

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Other
• Industry: Hospitals and Health Care

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