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The Prior Authorization Specialist is responsible for providing comprehensive oversight for all patients in need of medication. He/she is an integral part of the corporate team and works to ensure our patients have access to the appropriate medication by working with CoreLife clinical and administrative staff as well as insurance and pharmaceutical companies.
Job Responsibilities:
Qualifications
Adherence to CoreLife’s Values:
Work Environment:
This job operates in a professional medical office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands;
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to handle or feel; and reach with hands and arms.
This position requires the ability to occasionally lift office products and supplies, up to 20 pounds.
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Note: reasonable accommodations may be made available for individuals with disabilities to perform the essential functions of this position.
Job Type: Full-time
Pay: From $18.00 per hour
Benefits:
Schedule:
Ability to commute/relocate:
Work Location: In person
Full Time
Ambulatory Healthcare Services
$74k-86k (estimate)
03/10/2023
04/08/2023
corelifemd.com
PASADENA, MD
100 - 200
2009
STEPHAN R IZZI
$10M - $50M
Ambulatory Healthcare Services
CoreLife created its healthcare model based upon a personal experience. That personal experience uncovered a fragmented, uncoordinated, and one-dimensional array of treatment options for overweight and obese patients. This led to the development of a community-based, multidisciplinary healthcare model, that combines and coordinates the core disciplines necessary to treat overweight, obesity, and their underlying lifestyle factors. The coordinated management of these services are at the heart of what makes CoreLife unique and the solution to long term success and sustainability. Today, CoreLife... is the trusted partner for PCPs, surgeons, and specialists, who identify patients needing weight reduction and lifestyle modification in order to improve their overall health, to optimize a surgical outcome, or to prevent, impede, or reverse a diagnosis. Healthcare costs continue to grow, exacerbated by lifestyle choices and the consequent rise of chronic disease, often resulting from these choices. Obesity has become the central pervasive problem, bringing with it all of the related ailments: diabetes, cardiovascular disease, stroke risk, etc. By focusing exclusively on sustainable weight reduction and lifestyle, our health care model treats the root cause of much of the cost growth in healthcare today. This specificity in non-surgical obesity treatment is vital, but did not exist previously. Treating obesity and lifestyle cannot deal around the margin and expect to have an impact. There is a distinct need to conveniently coordinate and combine the critical disciplines necessary to treat weight and its underlying factors. In addition, it must be provided in a comfortable, private, and community-based center. This approach, in unison with a focus on sustainability and health improvement, can provide lasting change.
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The job skills required for Prior Authorization Specialist include Prior Authorization, Communicates Effectively, Health Insurance, EHR, Verbal Communication, Community Health, etc. Having related job skills and expertise will give you an advantage when applying to be a Prior Authorization Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Prior Authorization Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Prior Authorization Specialist positions, which can be used as a reference in future career path planning. As a Prior Authorization Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Prior Authorization Specialist. You can explore the career advancement for a Prior Authorization Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Prior Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Prior Authorization Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Prior Authorization Specialist job description and responsibilities
Request, follow up and secure prior-authorizations prior to services being performed.
04/09/2022: Laramie, WY
Receive requests for pre-authorizations and ensure that they are properly and closely monitored.
03/28/2022: Schenectady, NY
Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.
02/27/2022: Wichita, KS
Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.
04/08/2022: Altus, OK
Reported to supervisor to assure accurate capture of services needing authorization.
02/05/2022: Dothan, AL
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Prior Authorization Specialist jobs
Prior Authorization Specialist must have excellent computer skills including Excel, Word, and Internet use.
02/12/2022: New Britain, CT
A good Prior Authorization Specialist are those who are detail oriented with above average organizational skills.
03/28/2022: Galveston, TX
Basic understanding of human anatomy, specifically musculoskeletal would also give you benefits for this role.
04/04/2022: Lebanon, PA
Some experience in medical billing or insurance authorization are strongly preferred by most employers.
03/10/2022: Jamestown, NY
Licenses and certifications are not usually required to work as a prior authorization specialist.
04/02/2022: Mcallen, TX
Step 3: View the best colleges and universities for Prior Authorization Specialist.