PRIOR AUTHORIZATION SPECIALIST Job at Trinity Employment Specialists, Tulsa, OK

YWRSa2FvelA2U09IeCtXaUVoazVKYmN1OGc9PQ==
  • Trinity Employment Specialists
  • Tulsa, OK

Job Description

Prior Authorization Specialist | Tulsa, OK 

M-F 8-5

Job Description:

As a Prior Authorization Specialist, you'll be a key player in ensuring that patients receive timely access to the medical services they need. You’ll handle the prior authorization process from start to finish, working closely with healthcare providers, insurance companies, and patients. Your role is crucial in navigating the complexities of insurance coverage and making the authorization process as smooth as possible.

Responsibilities:

Authorization Processing: Submit and follow up on prior authorization requests to ensure timely approval for medical procedures, treatments, and medications.

Communication: Act as the liaison between healthcare providers, insurance companies, and patients. Communicate clearly and effectively to gather required information and relay authorization decisions.

Documentation: Maintain accurate and detailed records of all authorization requests, including supporting documentation and correspondence.

Problem Solving: Address any issues or discrepancies in authorization requests. Work proactively to resolve denials and appeal unfavorable decisions.

Compliance: Stay up to date with insurance policies, guidelines, and regulatory requirements to ensure all authorizations comply.

Qualifications:

  • Prior experience in a healthcare administrative role, preferably in prior authorization or medical billing.
  • Excellent communication skills, both written and verbal.
  • Strong organizational skills and attention to detail.
  • Ability to multitask and manage time effectively in a fast-paced environment.
  • Familiarity with insurance policies, medical terminology, and healthcare regulations is a plus.

Why Join Us:

  • Impactful Work: Help ensure patients receive the care they need without unnecessary delays.
  • Collaborative Team: Work in a supportive environment where your contributions are valued.
  • Professional Growth: Opportunities for learning and advancement within the company.

#BA

TRINITY EMPLOYMENT SPECIALISTS IS AN EQUAL OPPORTUNITY EMPLOYER

See the great things people are saying by checking out our Google reviews, along with our Facebook, LinkedIn, Instagram, X/Twitter. Please visit theCareer Centeron our website for some helpful resources to help in your job search, to build a resume, for interview tips and many job opportunities!

Job Tags

Full time,

Similar Jobs

CEDENT

Windows VMware Migration Engineer (Remote) Job at CEDENT

 ...WINDOWS VMWARE MIGRATION ENGINEER REQUIREMENTS ~5+ years of experience with VMware, specifically with VMware HCX ~3-5+ years of experience with the Quest tool suite ~ Expertise with PowerShell scripting ~ Experience participating in planning and shaping processes... 

OptiBalance

Medical Office Manager Job at OptiBalance

 ...and procedures Qualifications: Previous experience in healthcare or other medical fields Proficiency in the Polish or Russian language Experience in a managerial role Strong leadership qualities Strong organizational skills Excellent written and... 

Pediatric Movement Center

Speech Language Pathologist Job at Pediatric Movement Center

 ...physical therapy, occupational therapy, speech therapy, developmental classes, and community...  ...-Jessica T Position Summary: Speech Language Pathologists (SLPs) are expected to...  ...an accredited School in Speech Language Pathology, Certificate of Clinical Competency (CCC... 

Entertainment Travel Associates

Event Staff Job at Entertainment Travel Associates

 ...become part of a growing company where professionalism meets passion. Job Description Introduction As part of our Event Staff , youll help bring events to life and create memorable experiences for guests. This role is ideal for someone energetic and ready... 

Mclane Company, Inc.

CDL A Delivery Truck Driver Job at Mclane Company, Inc.

 ...and properly unloading goods in designated areas. This role requires a valid CDL-A license, a minimum of one year tractor-trailer driving experience, and a strong commitment to safety and reliability. The position offers competitive pay, comprehensive benefits from day...