About the Company
Huntington Health, an affiliate of Cedars-Sinai, is a nationally recognized, non-profit organization that has served the San Gabriel Valley and beyond for over 130 years. With a commitment to clinical excellence, community well-being, and compassionate care, we are dedicated to providing the highest quality healthcare services. Our mission is to improve the health and well-being of our community through a patient-centered approach, leveraging advanced technology and a team of dedicated professionals.
Job Description
We are seeking a highly motivated and detail-oriented Prior Authorization Coordinator to join our growing remote team. This is a fantastic opportunity for an individual with a strong understanding of medical authorization processes and excellent communication skills to work from the comfort of their home. You will be instrumental in ensuring timely and accurate processing of prior authorizations for medical services, working closely with healthcare providers, patients, and insurance companies. A laptop will be provided to ensure you have the necessary tools for success in this fully remote role.
Key Responsibilities
- Manage and process prior authorization requests for various medical procedures, tests, and medications in a timely manner.
- Communicate effectively with healthcare providers, patients, and insurance companies to obtain and submit necessary documentation.
- Verify patient insurance eligibility, benefits, and coverage details to ensure accurate authorization submissions.
- Track the status of all authorization requests and follow up diligently to prevent delays or denials.
- Maintain accurate and detailed records of all prior authorization activities in the electronic medical record (EMR) system.
- Identify and resolve any authorization discrepancies or issues, escalating complex cases to appropriate personnel when necessary.
- Stay updated on current insurance guidelines, regulations, and medical necessity criteria.
- Adhere to all HIPAA guidelines and maintain strict patient confidentiality.
Required Skills
- Minimum of 1 year of experience in a prior authorization or medical administrative role.
- Proficiency in medical terminology, CPT codes, ICD-10 codes, and healthcare billing processes.
- Excellent verbal and written communication skills with a customer service orientation.
- Strong organizational skills and exceptional attention to detail.
- Ability to manage multiple tasks, prioritize effectively, and work independently in a fast-paced environment.
- Proficiency with computer systems, including EMR software and Microsoft Office Suite.
- Demonstrated ability to maintain confidentiality and professionalism.
Preferred Qualifications
- Associate's or Bachelor's degree in healthcare administration or a related field.
- Certification in medical billing and coding (e.g., CPC, CCS-P, CPB).
- Experience with Epic EMR system.
- Previous experience working in a remote or work-from-home capacity.
Perks & Benefits
- Comprehensive health, dental, and vision insurance plans.
- 401(k) retirement plan with company matching contributions.
- Generous paid time off (PTO) and holiday schedule.
- Company-provided laptop for remote work.
- Opportunities for professional development and continuing education.
- Employee assistance program (EAP).
- Wellness programs and resources.
- A supportive and collaborative remote work environment.
How to Apply
If you are interested in this position, please click the "Apply Now" button below. To ensure your application is properly considered, please prepare the following:
- An up-to-date Resume or CV
- A brief cover letter summarizing your experience and motivation
Applications are reviewed on a rolling basis. Only shortlisted candidates will be contacted for an interview.
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