Prior Authorization Specialist - Medical Admin

Advanced Pain Care, Inc.; Austin (TX); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Life insurance

Medical insurance

Dental insurance

Vision insurance

Retirement plan

PTO

Gym membership

Job summary

Advanced Pain Care, Inc. in Austin, TX is seeking a Certified Medical Assistant to support the prior authorization process for medications and imaging orders. You will review requests, gather information, obtain verbal authorizations, and help ensure timely approvals.

The role emphasizes professional communication, patient confidentiality, and compliance with practice policies. You will document determinations in the electronic medical record, coordinate with prescribers and insurers, and assist

Qualifications

• Clear and precise communication and knowledge of medical terminology.
• Experience organizing and prioritizing daily tasks in a medical office.
• Ability to handle patient information with confidentiality.

Responsibilities

• Review new medication and refill requests for prior authorization.
• Obtain verbal authorizations and request detailed clinical information from prescribers.
• Approve coverage determinations based on defined criteria.
• Contact insurance companies to obtain prior authorizations and document in EMR.
• Obtain prior authorization on imaging orders.
• Document refills and ensure entry in patient charts.
• Counsel patients by transmitting physician orders and answering questions.
• Maintain patient confidentiality and comply with policies and regulations.
• Adhere to safety, infection control, and equipment procedures.
• Collaborate with providers and staff to support the practice.

Skills

Clear communication

Medical terminology

Prioritization

Public interaction

Education

High School Diploma or GED

Certified Medical Assistant

Job description

Advanced Pain Care, Inc. in Austin, TX is seeking a Certified Medical Assistant to support the prior authorization process for medications and imaging orders. You will review requests, gather information, obtain verbal authorizations, and help ensure timely approvals.

The role emphasizes professional communication, patient confidentiality, and compliance with practice policies. You will document determinations in the electronic medical record, coordinate with prescribers and insurers, and assist