Prior authorization

Medix
Phoenix, AZ Full Time
POSTED ON 5/24/2024 CLOSED ON 6/1/2024

What are the responsibilities and job description for the Prior authorization position at Medix?

Seeking a Prior Authorization Specialist to support a leading health facility. Ready for a new opportunity? Apply now!

Location : Seattle, WA (98109)

Start onsite for training, then transition to FULLY REMOTE (100%) after 30 days (or as short as two weeks, depending on experience and learning speed)

Schedule / Shift :

Monday to Friday, 7 : 30 AM to 4 : 00 PM

Duration : This is an 800-hour contracted role with no guarantee of conversion to full-time employment (FTE).

Responsibilities :

  • Imaging, radiology, PT referrals, and prior authorizations.
  • Access assigned work queue using Epic.
  • Follow up on authorizations from the previous day.
  • Initiate new authorizations.
  • Manage inbox of questions, including outside referral requests.
  • Sort work queue daily : authorizations, referrals, tracking authorizations.
  • Assist teammates if queues are cleared.
  • Daily Expectations / Metrics : Process 15-30 authorizations per day, depending on complexity.

Requirements :

  • 2-3 years of referral experience (initiating, creating, and tracking referrals).
  • 2-3 years of experience with OneHealth Port and AIM Portal.
  • Strong understanding of insurance terminology.
  • Epic experience is preferred, but not required.

Dress Code : Business Casual

Compliance Requirements :

  • Background
  • Health Screenings : Hepatitis B, MMR (Measles, Mumps, Rubella), Varicella (Chickenpox) Titers, Tuberculosis (TB)
  • Drug Screen
  • COVID Vaccination
  • Last updated : 2024-05-24

Salary : $19 - $24

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