Prior Authorization Jobs

We are looking for someone with a strong medical background preferably with experience in psychiatry behavioral health therapy or another outpatient medical setting . The ideal candidate will understand the unique needs of psychiatric patients and be comfortable communicating professionally and compassionately with patients providers pharmacies and insurance companies. This is an excellent opportunity for a medical assistant who enjoys working independently has strong clinical knowledge and wants to grow with a busy and expanding practice. Work Hours are 9 am - 6pm Monday - Friday Central Standard time with 1-2 daays per week on Saturdays from 9-1 pm Key Responsibilities Assist psychiatric providers with day-to-day patient care and clinical workflow Respond to patient questions regarding medications appointments treatment instructions and practice procedures Triage patient calls and messages and appropriately escalate clinical concerns to the provider Process medication prior authorizations including gathering required clinical information and communicating with insurance companies Follow up on prior authorization requests and medication coverage issues Communicate with pharmacies regarding prescriptions refills medication availability and insurance issues Assist patients with medication-related questions and direct clinical questions to the appropriate provider when necessary Assist with patient intake and collection of relevant medical information Obtain and document patient information accurately in the EMR Assist with appointment scheduling rescheduling and coordination of follow-up appointments Help ensure patients are scheduled appropriately based on provider recommendations and treatment needs Review patient messages and route them appropriately to psychiatric providers or therapists Assist providers with obtaining information needed for medication management and follow-up visits Maintain accurate and timely documentation in the EMR Communicate professionally with patients pharmacies insurance companies and healthcare providers Maintain strict HIPAA compliance and confidentiality Assist with other clinical tasks as directed by the provider or practice manager Ideal Candidate The successful candidate will have: Previous Medical Assistant or healthcare experience Experience working with psychiatry behavioral health therapy or mental health patients strongly preferred Experience processing medication prior authorizations Working knowledge of prescription medications and pharmacy processes Familiarity with health insurance plans and medication coverage Experience using an EMR/EHR Excellent communication and patient-service skills Strong clinical judgment regarding when a patient concern should be escalated to a provider Exceptional attention to detail Ability to multitask while maintaining accuracy Ability to work independently in a virtual environment Strong work ethic and reliability Professional compassionate and patient-centered communication style

We are hiring a Virtual Assistant to support our business with Email Handling Telephone Handling and Web Search. Responsibilities: Assist with daily tasks related to Email Handling Support Telephone Handling tasks and follow processes accurately Handle Web Search tasks with attention to detail Communicate progress and updates clearly Follow instructions meet deadlines and ask questions when needed Requirements: Previous experience with Email Handling and/or Telephone Handling Strong written English and communication skills Reliable internet connection Organized detail-oriented and proactive Able to work independently and follow SOPs Nice to have: Experience working with international clients Familiar with tools like Google Workspace Slack Zoom Trello/Asana To apply please include: Your relevant experience Your availability and time zone Your top 2 skills related to this role