New Mexico Rheumatology is looking for a Certified Medical Assiant with a backround in prior authorizations. The primary focus of the Prior Authorization Specialist will be verifying patient eligibility, obtaining prior authorizations, and preparing patients for a variety of infusion or injectiable medications/services. The MA must also able to provide support to the provider, nurses, and staff by assiting in the clinics needs. This includes triaging patients, assisting the provider with treatments or procedures, and assisting with clerical functions.

The ideal canidate has a comprehensive understanding of medical terminology and insurance/billing processes. The Prior Authorization Specialist must also be able to work independently and effectively communicate with patients, providers, and insurance companies.

Responsibilities:

• Verify patient eligibility for services prior to scheduled appointments.
• Determine if services are covered under the patient's insurance plan.
• Review medical records to determine the necessity of requested services.
• Research and interpret insurance policies and guidelines.
• Process prior authorizations.
• Explain treatment procedures, medications, and provider instructions to patients as indicated.
• Provide administrative and clerical support.
• Perform miscellaneous job-related duties as assigned within established parameters.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Work Location: In person