Prior Authorizations Specialist

Crane Center; West Lake Hills (TX); Hybrid; USD 48,000 - 62,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

401(k) with company matching

Career growth and professional develop

Paid time off and holidays

Hybrid position

Job summary

The Crane Center in Texas is seeking a detail-oriented Prior Authorizations Specialist to manage the prior authorization process for medical services across our clinic network. You will coordinate with healthcare providers, insurance companies, and patients to obtain approvals while maintaining HIPAA-compliant practices.

You will review requests, gather documentation, submit to insurers, and keep meticulous records.

Qualifications

• High school diploma or equivalent is required.
• Minimum of 2 years experience in prior authorizations, medical billing, or related field.
• Proficiency with healthcare management software and Microsoft Office.
• Strong knowledge of insurance policies and HIPAA rules.

Responsibilities

• Review and process prior authorization requests for medical services.
• Communicate with healthcare providers to gather documentation and information.
• Submit prior authorization requests to insurers and follow up on status.
• Maintain accurate records of all prior authorization activities.
• Provide excellent customer service to patients and providers.
• Stay updated on insurance policies and guidelines to ensure compliance.

Skills

Attention to detail

Organizational skills

Communication

Interpersonal skills

Teamwork

HIPAA familiarity

Independent work

Education

High School Diploma or equivalent

Tools

Healthcare management software

Microsoft Office Suite

Job description

The Crane Center is a world-renowned Transgender surgical practice, with locations in Greenbrae, California, Boulder, Colorado, and Austin, Texas. We have eight highly specialized surgeons and a multidisciplinary clinical team which allows us to offer all aspects of gender-affirming surgery. We are dedicated to providing exceptional healthcare services to our community. We encourage members of the LGBTQIA+ community to apply.

DESCRIPTION

We are seeking a detail-oriented and motivated Prior Authorizations Specialist to join our team and help us ensure that our patients receive the care they need promptly. As a Prior Authorizations Specialist, you will be responsible for managing the prior authorization process for medical services. Your role will involve coordinating with healthcare providers, insurance companies, and patients to obtain necessary approvals and ensure compliance with insurance requirements.

JOB RESPONSIBILITIES

• Review and process prior authorization requests for medical services.
• Communicate with healthcare providers to gather necessary documentation and information.
• Submit prior authorization requests to insurance companies and follow up on the status.
• Maintain accurate records of all prior authorization activities.
• Provide excellent customer service to patients and healthcare providers.
• Stay updated on insurance policies and guidelines to ensure compliance.

REQUIRED EXPERIENCE, EDUCATION, ABILITIES AND SKILLS

• High school diploma or equivalent.
• Minimum of 2 years previous experience in prior authorizations, medical billing, or a related field.
• Proficiency in using healthcare management software and Microsoft Office Suite.
• Strong understanding of insurance policies and procedures.
• Excellent attention to detail and organizational skills.
• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Familiarity with HIPAA regulations and medical privacy laws.

BENEFITS

• Compensation package
• Comprehensive health, dental, and vision insurance
• 401(k) retirement saving plan with company matching
• Opportunities for career growth and professional development
• Paid time off and holidays.
• Hybrid position

Job Type:

Full-time

Expected hours:

40 per week

401(k)

401(k) matching

Employee assistance program

Health insurance

Life insurance

Paid time off

Vision insurance

Schedule:

Monday to Friday

Work setting:

Clinic

Medical office

Private practice

Experience:

Prior Authorizations: 2 years (Preferred)

Ability to Commute:

West Lake Hills, TX 78746 (Required)

Work Location:

Hybrid remote in West Lake Hills, TX 78746