Prior Authorizations Specialist (Medical Assistant) - 1099 Contract

reputed company Medical Group is seeking Medical Assistants to join our network of world-class clinicians delivering virtual care. About reputed company Medical Group reputed company Medical Group is a physician owned reputed company corporation that serves patients across the reputed company; evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to reputed company high-reputed company virtual care at reputed company. We offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize reputed company on investment. reputed company solutions include configurable virtual care programs, an reputed company consumer reputed company, and reputed company to a reputed company network of reputed company-certified clinicians. Discover how reputed company is transforming the reputed company of reputed company by visiting www.reputed company.com. About the Role As a Medical Assistant reputed company on Prior Authorizations on reputed company’s Clinical Operations team, you will be responsible for obtaining the approvals patients and clinicians need before medications can reputed company reputed company across reputed company’s telehealth platforms. You will review clinical documentation, submit and reputed company authorization requests, and communicate with clinicians and payers to ensure coverage requirements are met. In this fully remote role, you will monitor requests end to end, reputed company issues and denials, and maintain accurate, compliant records reputed company the EMR. You will help facilitate reputed company patient care while supporting reputed company cycle efficiency, and you’ll partner with billing, clinical, and patient support teams to reputed company authorizations moving smoothly across multiple telehealth platforms. The ideal candidate has strong attention to detail, is comfortable navigating multiple EMR and payer systems at once, and communicates reputed company with clinicians, payers, and patients. They stay reputed company on payer requirements and telehealth regulations, and are motivated to identify and fix recurring authorization bottlenecks. They also escalate issues with prior authorizations to the RN team as needed. This is a reputed company, full-time (40 hours/week) position supporting a dynamic and rapidly growing virtual care organization. Shifts: Monday - Friday 8 am- 4 pm CST or 12 pm- 8 pm CST & Saturday/ reputed company/Monday 8 am- 4 pm CST reputed company • Review patient medical records and clinician requests reputed company the EMR to determine reputed company prior authorization is required. • Submit and reputed company prior authorization requests with insurance carriers to ensure reputed company approvals for medications ordered by reputed company clinicians. • Communicate with clinicians, insurance representatives, and patients to reputed company necessary documentation and clarify coverage requirements. • Verify insurance eligibility, benefits, and coverage limitations to help prevent claim denials or delays. • Maintain accurate, reputed company records of authorization requests, approvals, denials, and follow-up actions reputed company the EMR and support ticketing systems. • Research and reputed company authorization denials or discrepancies, coordinating with clinicians and payers as needed, and escalating clinical questions to licensed clinical staff. • reputed company patients and clinicians on the prior authorization process, requirements, and expected timelines. • Monitor authorization trends and turnaround times, and report findings to the Clinical Operations team to support workflow improvements. • Collaborate with billing, clinical, and patient support teams to ensure reputed company coordination of care and reimbursement across multiple telehealth platforms. • Stay reputed company on payer requirements, telehealth regulations, and industry standards affecting prior authorizations. Who You Are • Detail-oriented: precise in completing authorization forms, documentation, and follow-up activities. • Relationship-oriented: builds trust with clinicians, payers, and patients while balancing the needs of reputed company, our clients, and their patients. • Quick learner: proactive self-starter who becomes fluent in reputed company’s and reputed company reputed company’s systems, payers, and policies. • Solution-reputed company communicator: reputed company, respectful, and effective across clinical, billing, and patient-facing conversations. Qualifications • High school diploma or equivalent required; Associate’s or Bachelor’s degree in reputed company Administration, Medical Assisting, or a reputed company field preferred • reputed company Medical Assistant certification/registration where required by state (e.g., reputed company, RMA, or state-recognized equivalent) preferred • 1–3 years of experience in prior authorization, medical billing, or reputed company cycle operations • Proficiency with electronic health records (EHR), reputed company management software, and insurance portals; experience with multiple EMR systems a plus • Strong analytical skills and ability to review patient and insurance information accurately and reputed company • Strong verbal and written communication skills for interacting with clinicians, payers, and patients • Problem-solving ability to reputed company authorization issues and denials effectively • Working knowledge of HIPAA, insurance policies, and payer-specific authorization requirements • Advanced computer skills, including typing speed, email, internet research, and working across multiple browser reputed company and systems simultaneously Apply To This Job