Prior Authorizations Specialist - Gastroenterology - West Valley City/Fairbourne - Full-Time

Job Description

Job Description

Granger Medical is looking for a full-time Prior Authorization Specialist at our West Valley City/Fairbourne location.

***Prior Authorizations experience required.

Overview:

The ideal candidate will be confident, self-motivated, and compassionate. The Prior Authorization Specialist is responsible for verifying patient insurance information and obtaining prior authorizations for scheduled procedures to ensure timely patient care and proper reimbursement.

Essential Functions and Duties:

• Confirm patient insurance information and determine authorization requirements
• Obtain prior authorizations for scheduled procedures, services, and treatments
• Communicate with insurance carriers to ensure accurate and timely processing of requests
• Follow up on pending authorizations and document updates as needed
• Notify appropriate staff of authorization approvals, denials, or additional requirements
• Maintain accurate and detailed records of all authorization activities
• Perform other duties as assigned

Knowledge, Skills, and Abilities:

• Basic computer knowledge and proficiency required
• Knowledge of surgical procedures and insurance authorization processes preferred
• Understanding of medical terminology
• Strong verbal and written communication skills
• High level of accuracy and attention to detail
• Ability to demonstrate tact, diplomacy, and a positive attitude
• Strong organizational and time management skills

Education and Experience:

• High school diploma or equivalent required
• Prior experience in healthcare, insurance verification, or prior authorizations preferred
• Experience working with electronic medical records (EMR) systems preferred

Physical Requirements and Working Conditions:

• Ability to lift up to 10 pounds as needed
• Repetitive motion associated with operating a computer and office equipment
• Work performed in an indoor, climate-controlled environment

Granger Medical Clinic offers competitive wages, potential for quarterly bonuses, and excellent benefits. Benefits include:

• Vision
• Dental
• Medical
• Sick leave
• Paid Time Off
• Life Insurance
• Paid maternity leave
• Tuition Reimbursement
• Short- and long-term disability
• Employee Assistance Program (EAP)
• Health Savings and Flexible Spending Accounts
• 401(k) with a Company Match, Profit Share, and Safe Harbor contributions

Granger Medical Clinic provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Granger Medical Clinic complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation and training.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regards to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability status, genetic information and testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law.

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