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Prior Authorization Coordinator
Prima CARE River, MA
$41k-51k (estimate)
Full Time | Business Services 6 Months Ago
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Prima CARE is Hiring a Remote Prior Authorization Coordinator

Positon: Prior Authorization Coordinator
Location: Fall River, MA
Job Type: Full-Time - Remote

Job Description:
Prima Care, P.C. has an opening for a full-time Prior Authorization Coordinator. In this position, the individual will be responsible for prior authorizations. A key component is to work closely with referring physicians’ office staff and insurance companies to quickly and efficiently obtain the necessary information/documentation to get prior authorizations. Primary Responsibilities include:

  • Request, track, and obtain prior authorizations from insurance carriers/third party authorization companies within a reasonable time frame.
  • Contact insurance carriers to verify patient’s insurance benefits and requirements specific to the requested radiology procedures.
  • Follow up with insurance carriers/third party authorization companies prior to services being performed to secure prior authorization.
  • Work closely with referring physicians to obtain necessary data needed to submit for prior authorization.
  • Maintains a level of productivity suitable for the department
  • Must be a team player
  • Communicate any insurance changes or trends back to management and the scheduling team

Benefits for our Permanent Placements Include:
Medical, Dental, Vision and Life Insurance. 401K/ROTH and Safe Harbor Plans. Paid Time Off.


Minimum Requirements and Skills:

  • 2 years of prior authorization/referral experience in a medical office setting
  • Must have excellent written and verbal skills
  • Strong attention to detail, organizational skills and ability to meet deadlines and work efficiently
  • Must have the ability to multitask and adapt to working under pressure
  • Excellent phone etiquette
  • Excellent customer service skills
  • Must be able to problem solve and think outside the box
  • Must be able to work as a team player
  • Fast learner
  • Excellent computer skills
  • Medical terminology, medical office and HIPAA regulations
About PrimaCARE, P.C.:
Prima Care, P.C. was founded in 1996 and is a large, multi – specialty medical group serving southeastern New England. With over 150 providers, including primary care physicians and a broad range of specialists, we offer quality health care, a diversity of services and treatments, convenient and friendly service, and state –of-the-art testing facilities to support your diagnosis and treatments.
In addition to our main Fall River campus and walk-in Center, Prima Care has medical offices and Walk In centers in Somerset, Westport, and Dartmouth, as well as satellite offices in Tiverton, Rhode Island. We also provide care in patient’s homes, nursing homes and hospitals and two Outpatient Physical Therapy clinics located in Fall River and Somerset, MA.
We live and work by the golden rule and our company values that include integrity, respect, professionalism, ethical behavior and partnership.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$41k-51k (estimate)

POST DATE

11/10/2023

EXPIRATION DATE

05/10/2024

WEBSITE

prima-care.com

HEADQUARTERS

FALL RIVER, MA

SIZE

200 - 500

FOUNDED

1991

CEO

GLENN DUBLER

REVENUE

$50M - $200M

INDUSTRY

Business Services

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About Prima CARE

Prima CARE, P.C. is a large, multi-specialty medical group serving southeastern New England. We have built our reputation with excellent physicians, quality care and diversity of services. Our staff of over 80 professionals provide primary care, specialty care and full diagnostic services (MRI, CT scans, nuclear cardiac testing, vascular testing, ultrasound, x-rays, etc.). With facilities in Fall River, Somerset, Tiverton and Dartmouth, Prima CARE has been committed since 1991 to the doctor/patient relationship through humanism, communication, empathy, compassion and mutual respect, all joined ... together by trust. Main Location in the Durfee Mills Complex on Pleasant Street, Fall River (508) 676-3292 prima-care.com https://www.facebook.com/primacaremedicalcenter More
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The following is the career advancement route for Prior Authorization Coordinator positions, which can be used as a reference in future career path planning. As a Prior Authorization Coordinator, it can be promoted into senior positions as a Medical Policy Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Prior Authorization Coordinator. You can explore the career advancement for a Prior Authorization Coordinator below and select your interested title to get hiring information.