Remote Medical Authorization & Referral Specialist

Silver Pine Medical Group; United States; Remote; USD 53,010,000 - 74,501,000; Full time

Job summary

Silver Pine Medical Group is seeking a Prior Authorization Specialist / Medical Assistant to support our referral department and ensure timely approvals for patients. Responsibilities include tracking referrals, compiling patient history, contacting review organizations and insurers, presenting medical information, and advocating for patients with carriers when needed.

Qualifications include high school diploma, medical assistant certification (preferred), and at least one year of MA experience;

Qualifications

• High school diploma or equivalent required.
• Medical Assistant certification preferred.
• Strong written and verbal communication essential.
• Ability to stay organized with competing priorities.

Responsibilities

• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and patient safety.
• Assemble information concerning patient's clinical background and referral needs.
• Contact review organizations and insurance companies to ensure prior approval requirements are met.
• Present necessary medical information such as history, diagnosis and prognosis.
• Review details and expectations about the referral with patients.
• Advocate for the patient with the carrier to secure timely approvals.

Skills

Effective communication

Customer service

Organizational skills

Education

High School Diploma or Equivalent

Medical Assistant Certification (Optional)

Job description

Silver Pine Medical Group is seeking a Prior Authorization Specialist / Medical Assistant to support our referral department and ensure timely approvals for patients. Responsibilities include tracking referrals, compiling patient history, contacting review organizations and insurers, presenting medical information, and advocating for patients with carriers when needed.

Qualifications include high school diploma, medical assistant certification (preferred), and at least one year of MA experience;