Prior Authorization Specialist

Job Title

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 weeks of PTO in the first year! Other perks include no nights or weekend work.

Sign-on bonus $1,000 ($500 after successful completion of your probationary period and $500 after 6 months).

Benefits:

• Medical, vision, dental, life, and disability insurance
• 401K match
• 8 paid holidays
• Employee wellness program focusing on physical, mental, and financial wellness

Examples of duties:

1. Educates patients and staff about the process of medication prior authorizations.
2. Processes medication prior authorization requests.
3. Communicates with patients, Grace Health staff and other offices or health care agencies regarding medication prior authorization.
4. Develops and maintains a tracking system for medication prior authorizations.
5. Documents appropriate information in the medical record.
6. Maintains current resources related to medication prior authorizations.
7. May assist staff and patients with the managed care process.

Requirements:

1. High school Diploma or GED

2. Completion of Medical Terminology

3. Ambulatory and Pharmacy experience preferred

4. Certified Clinical Medical Assistant Preferred