Procedure & Medication Preauthorization Specialist

Holston Medical Group, PC; Johnson City (TN); On-site; USD 22,000 - 30,000; Full time

Job summary

Holston Medical Group in Johnson City, TN is seeking a Preauthorization Specialist to obtain authorizations for procedures and medications, coordinating with offices and patients to complete insurance requirements. You will verify eligibility, obtain precertifications, counsel patients on pending or denied authorizations, and support scheduling and records—delivering accurate, timely information.

This role emphasizes teamwork, strong communication, and meticulous documentation in a fast-paced

Qualifications

• High School diploma or equivalent required.
• Familiar with radiology procedures for ODC.
• Familiarity with CPT and ICD-9 terminology.
• Proficient with computers and basic office equipment.
• Excellent communication and organizational skills.
• Ability to work in a team environment.

Responsibilities

• Coordinate and schedule procedures based on orders and approvals.
• Verify patient eligibility and insurance coverage for the procedure.
• Obtain precertification/preauthorization from insurers.
• Counsel patients when authorization is pending or denied.
• Maintain accurate documentation of approvals and denials.
• Interact with patients, physicians, and staff to provide timely information.
• Handle multitasking and cross-training as needed.

Skills

Excellent communication

Organizational skills

Team player

Medical terminology

CPT/ICD-9 familiarity

Education

High School diploma or equivalent

Job description

Holston Medical Group in Johnson City, TN is seeking a Preauthorization Specialist to obtain authorizations for procedures and medications, coordinating with offices and patients to complete insurance requirements. You will verify eligibility, obtain precertifications, counsel patients on pending or denied authorizations, and support scheduling and records—delivering accurate, timely information.

This role emphasizes teamwork, strong communication, and meticulous documentation in a fast-paced