Prior Authorization Specialist

DrFirst; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An innovative healthcare IT company is seeking a Prior Authorization Specialist to revolutionize medical benefits checks. This role offers a unique opportunity to impact the future of healthcare by shaping core software functionalities and ensuring accurate requirements. Join a fast-paced, collaborative team dedicated to enhancing patient care through technology. If you're a self-starter with a passion for problem-solving and adaptability in dynamic environments, this position is perfect for you. Embrace the chance to thrive in a remote-first culture that values your contributions and fosters professional growth.

Qualifications

• 3+ years experience in prior authorization and insurance verification.
• Excellent research skills for complex healthcare regulations.

Responsibilities

• Curate and maintain business rules library for software accuracy.
• Collaborate with developers on handling prior authorization requirements.

Skills

Prior Authorization Expertise

Insurance Verification

Research Skills

Adaptability to New Technologies

Problem-Solving

Job description

About DrFirst

Here is a remarkable chance for you to join a thriving Healthcare IT company with established products, prestigious clients, substantial revenue, blue-chip institutional investors, and continuous growth. At DrFirst, you will collaborate with brilliant minds, tackling unique healthcare challenges on an unprecedented scale. Our culture is entrepreneurial, collaborative, and fast-paced—ideal for those who seek personal and professional growth while working alongside intelligent colleagues. If you're enthusiastic about pushing your limits, unlocking your potential, and thriving in a dynamic team, we're eager to connect with you!

Position Overview

Do you dream of a healthcare system focused on patient care, not paperwork?

At Myndshft by DrFirst, we're revolutionizing medical benefits checks and prior authorizations. We're building the future of healthcare, and you can be part of the team laying the foundation.

As our PA Specialist:

• You're an expert at navigating the complexities of prior authorization and insurance verification.
• You can decipher insurance jargon with ease, research like a pro, and understand complex regulations.
• You thrive in new environments, picking up unfamiliar technology quickly.

What you will work on

How you'll make a real impact:

• You'll curate and maintain our business rules library, the core of our software, ensuring accurate and up-to-date requirements information.
• You'll collaborate with developers to shape how our products handle prior authorization requirements.
• You'll be a key player in building our approach from the ground up – this is your chance to make a lasting difference!

Qualifications

• 3+ years of experience in prior authorization and insurance verification
• Excellent research and comprehension skills for complex healthcare regulations
• Adaptability and comfort with new technologies
• Ability to work independently, collaboratively, and reliably
• Self-starter mentality with a problem-solving approach
• Thrives in a dynamic environment and welcomes new challenges

Physical Requirements

• This role is 100% remote.
• While performing the duties of this job, the employee may be regularly required to stand, sit, talk, hear, reach, stoop, kneel, and use hands and fingers to operate a computer, telephone, and keyboard.
• Specific vision abilities required by this job include close vision requirements due to computer work.

Benefits

We are looking for a highly motivated and results-oriented individual to join our growing team. If you are passionate about the customer experience and have a strong technical background, we encourage you to apply!

• This role will be fully remote and will start off as a long term contract position with competitive hourly compensation of $20 - $25 per hour.

DrFirst is committed to being a Remote-First company, creating a dynamic and flexible workplace where everyone can thrive, no matter where they log in from.