Prior Authorization Specialist — Patient Access & Care

Pinnacle GI Partners; Rochester (MI); On-site; USD 19,000 - 28,000; Part time

Benefits offered by this job

Competitive pay

Generous PTO

Paid holidays

Floating holidays

401(k) with company match

Life & Disability Insurance

Supportive team environment

Opportunities for growth and develop

Job summary

Pinnacle GI Partners in Rochester, MI is seeking a part-time healthcare authorization specialist to support timely access to medications, procedures, and services behind the scenes.

You will obtain prior authorizations, secure imaging and procedure approvals, coordinate referrals, and communicate with patients, providers, pharmacies, insurers, and facilities. Strong medical terminology knowledge and EMR proficiency are preferred.

Qualifications

• Strong knowledge of medical terminology.
• Experience with insurance authorizations preferred.
• Proficiency with electronic medical records (EMR).
• Strong communication and organizational skills.

Responsibilities

• Obtain prior authorizations for medications and specialty treatments.
• Secure authorizations for imaging, procedures, and other healthcare services.
• Coordinate specialty procedures and patient instructions.
• Prepare and submit physician orders to outside facilities.
• Assist with home care authorizations and referrals.
• Communicate with patients, providers, pharmacies, insurance companies, and healthcare facilities.
• Support patients through complex treatment processes.

Skills

Medical terminology

EMR proficiency

Communication skills

Organizational skills

Independent worker

Detail oriented

Tools

EMR software

Job description

Pinnacle GI Partners in Rochester, MI is seeking a part-time healthcare authorization specialist to support timely access to medications, procedures, and services behind the scenes.

You will obtain prior authorizations, secure imaging and procedure approvals, coordinate referrals, and communicate with patients, providers, pharmacies, insurers, and facilities. Strong medical terminology knowledge and EMR proficiency are preferred.