VILLAGE HEALTH PARTNERS Prior Authorization Coordinator Salary in the United States

Family Practice office in Plano is seeking an experienced, outgoing Prior Authorization Coordinator. Must be a Certified Medical Assistant.

Essential Skills:

• Compile required information within the EMR to prepare the prior authorizations and submit to insurance companies in a timely manner.
• Work with third party software to record all pertinent information the insurance companies require.
• Communicate with providers when a medication needs change considerations due to prior authorization denial.
• Create monthly reports.
• Write communications to educate team members, including providers on changes and performance improvements.
• Assist patients with prior authorization inquiries and provide status updates.
• Communicate with patients, payors, and pharmacies in a professional and courteous manner.
• Provide education and feedback to team members regarding high volume of prior authorizations for specific medications.

Qualifications:

• Certified Medical Assistant (current)
• Fluent in Medical Terminology.
• Working knowledge of medications.
• Excellent verbal, written, and interpersonal communication skills.
• Works efficiently and effectively in a fast-paced environment.
• Follows documented protocols and procedures.
• Appropriately escalates issues outside of existing protocols to meet the needs of the patient.
• Follows all HIPAA and privacy rules while discussing sensitive health information with the patient or their authorized delegates.
• Works well with a diverse group of professionals in a team environment.
• Proactively and professionally identifies opportunities for improvement in work processes and/or setting.
• Prior experience with eClinicalWorks a plus.
• Prior experience with Prior Authorizations a plus.

*

Job Type: Full-time