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[Hiring] Prior Authorizations Specialist @reputed company

Remote, USA Full-time Posted 2026-08-04
Role reputed company 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. • Communicate with clinicians and payers to ensure coverage requirements are met. • Monitor requests end to end, reputed company issues and denials. • Maintain accurate, compliant records reputed company the EMR. • Facilitate reputed company patient care while supporting reputed company cycle efficiency. • Partner with billing, clinical, and patient support teams to reputed company authorizations moving smoothly. 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 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. Requirements • 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. Apply tot his job Apply To this Job

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