Prior Authorization Specialist

Prior Authorization Specialist

The Prior Authorization Specialist is responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion of the required prior authorization in order to proceed with testing. Complete, timely, and accurate identification and submission of prior and retro authorization requests to the payors. Interacts with clients, insurance companies, patients, and sales representatives, as necessary, to request for prior authorizations. Responsible for documenting account activity, updating patient and claim information and demonstrates proficiencies with the XIFIN billing system to ensure all functionalities are utilized for the most efficient processing of claims and identifies prior authorization trends and/or issues resulting in delayed claims processing. Provides the highest level of customer service to internal and external clients.

Position is full time.

Shift is Monday to Friday, 6:00am to 2:30pm (Pacific Time)

Applicant must be able to work from home.

Minimum 2 years of customer service experience in the healthcare industry.

Proficiency in the XIFIN system is preferred.

Proficiency in the Glidian system is preferred.

High level of accuracy, attention to detail, ability to prioritize and meet defined deadlines is a must.

The ability to organize systematic paper and electronic files and the ability to work in a fast-paced team environment is desired.

Hiring range: $19.26 to $23.00. The actual rate will be determined based on experience and other factors permitted by law.

Mdxhealth seeks talented people who are passionate about improving the diagnosis and treatment of cancer patients.

Mdxhealth is a building world class healthcare company, providing significant career development and financial opportunities.

We offer a comprehensive compensation and benefits package, which includes a competitive salary, company paid medical, dental, vision and life insurance coverage, 401(k) with company match, generous employee discounts, a casual, but driven work environment, and the ability to make a real difference as a key contributor to our growth.

Mdxhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

Accessibility: If you need an accommodation as part of the employment process, please contact Human Resources at: View phone number on click.appcast.io.