Prior Authorization Specialist - Hybrid/Remote Ready

Haven Spine + Pain; Grand Rapids Charter Township (MI); Híbrido; USD 42.000 - 64.000; Jornada completa

Descripción de la vacante

Haven Spine + Pain in Grand Rapids, MI seeks a dedicated Prior Authorization Specialist to manage all aspects of the prior authorization and precertification process for procedures, tests, and medications. The role combines in-person work with potential remote arrangements as proficiency grows.

You will verify benefits, collect documentation, submit requests, and follow up with payors while maintaining HIPAA compliance and clear patient communications.

Formación

• High school diploma or GED required.
• Experience in clinical setting and/or with health insurance carriers preferred.
• Knowledge of HIPAA regulations and patient privacy.
• Strong communication and organizational skills.
• Ability to document workflows and maintain accurate records.

Responsabilidades

• Verify insurance eligibility, benefits, and requirements with carriers.
• Request, follow up, and secure prior authorizations before services.
• Communicate with patients about authorization status and timelines.
• Review documentation to ensure compliance with medical policy guidelines.
• Maintain HIPAA-compliant handling of information and efficient documentation.
• Identify trends or issues affecting prior authorizations and relay to team.

Conocimientos

Communication

Organization

HIPAA compliance

Patient communication

Documentation

Educación

High School Diploma or GED

Descripción del empleo

Haven Spine + Pain in Grand Rapids, MI seeks a dedicated Prior Authorization Specialist to manage all aspects of the prior authorization and precertification process for procedures, tests, and medications. The role combines in-person work with potential remote arrangements as proficiency grows.

You will verify benefits, collect documentation, submit requests, and follow up with payors while maintaining HIPAA compliance and clear patient communications.