Website Desert Medical Careers

Job Title: Prior Authorization Specialist

Location: Phoenix, AZ

Company: Desert Medical Careers

About Us: Desert Medical Careers is committed to delivering high-quality healthcare services to our community. Our team is dedicated to ensuring that patients receive the care they need while navigating the complexities of insurance and prior authorization processes. We are currently seeking a knowledgeable and detail-oriented Prior Authorization Specialist to join our team.

Position Overview: The Prior Authorization Specialist will be responsible for obtaining necessary authorizations from insurance companies for medical procedures, tests, and treatments. This role is crucial in ensuring timely access to care for our patients while maintaining compliance with insurance requirements.

Key Responsibilities:

  • Review and process prior authorization requests for medical services, procedures, and medications.
  • Communicate with healthcare providers, patients, and insurance representatives to gather necessary information and documentation.
  • Verify patient insurance coverage and eligibility for requested services.
  • Submit prior authorization requests through electronic systems or by phone, ensuring all required information is included.
  • Follow up with insurance companies to ensure timely approval and resolve any issues or denials.
  • Maintain accurate records of all prior authorization requests, approvals, and denials.
  • Educate patients about the prior authorization process and any necessary steps they may need to take.
  • Collaborate with clinical staff to ensure accurate documentation and coding to support authorization requests.
  • Stay current on insurance policies and changes in prior authorization requirements.

Qualifications:

  • High school diploma or equivalent; additional education in healthcare administration or a related field is preferred.
  • Previous experience in a prior authorization, medical billing, or insurance-related role is strongly preferred.
  • Strong knowledge of medical terminology, insurance processes, and prior authorization protocols.
  • Excellent communication and interpersonal skills.
  • Proficient in electronic health record (EHR) systems and insurance software.
  • Strong attention to detail and organizational skills, with the ability to manage multiple tasks effectively.
  • Ability to work independently and collaboratively in a fast-paced environment.

What We Offer:

  • Competitive salary and comprehensive benefits package.
  • Opportunities for professional development and continuing education.
  • A supportive and collaborative work environment.
  • Flexible scheduling options.
  • Employee wellness programs and incentives.

How to Apply: If you are an experienced professional with a passion for facilitating patient access to care through prior authorizations, we want to hear from you! Please submit your resume and a cover letter outlining your qualifications and interest in the position to dmc@desmedcar.com with the subject line “Prior Authorization Specialist Application.”

Desert Medical Careers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

To apply for this job please visit desmedcar.com.