What are the responsibilities and job description for the Medical Assistant/Prior Authorization/Insurance Specialist position at AlignHR, LLC?
A successful ENT practice in the Wheeling WV area seeks a full-time Medical Assistant/Prior Authorization/Insurance Specialist to complete their team. Candidates for this position must have a high school diploma or GED and previous customer service or inbound call center experience. On the job training can be provided if needed and applicable. The work schedule will be Monday through Friday, day shift hours.
Successful candidates must also possess an excellent work ethic, dedication, reliability, punctuality, a passion for patient care, and professionalism.
Primary Responsibilities:
- Room patients and assist in office procedures
- Assist in the initiation of new prior authorization requests to providers
- Identify the correct prior authorization form required for the patient's insurance provider
- Coordinate with prescribers and medical offices to ensure applicable information is translated onto prior authorization forms
- Follow up with medical offices to check the status of prior authorization requests
- Assist with communicating the status of prior authorizations to both patients and providers
- Coordinate with medical offices to handle appeals
- Respond to internal questions from other departments related to prior authorization requests
Requirements:
- Must have experience using EPIC patient technology system
- High school diploma or GED required
- Customer service or inbound call center experience required
- Strong verbal and written communication skills
- Sound technical skills, analytical ability, attention to detail, good judgment, and strong operational focus
- A passion for providing top-notch patient care
- Ability to work with peers in a team effort and cross-functionally
- 1 year(s) working with prior authorizations or insurance verification
This position is eligible for all full-time benefits, which includes health insurance, retirement plan with a match, and paid time off. Compensation is commensurate upon experience level and credentials.
Interested candidates should submit their resume, cover letter, and list of professional references by no later than June 30, 2026.
Equal Opportunity Employer