FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Prior Authorization Specialist
Geode Health. Initiate prior authorization requests with insurance companies by submitting necessary documentation and medical records .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in prior authorization processes, medical terminology, and insurance communication while ensuring compliance with HIPAA regulations. Capable of maintaining accurate records and providing excellent patient support in a healthcare setting.
Highest-signal resume keywords
Prior Authorization ExperienceMedical Terminology KnowledgeHIPAA ComplianceExcellent Communication SkillsHealthcare Setting Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prior Authorization RequestsMedical Record ManagementInsurance VerificationDocumentation SubmissionBilling Practices
Soft Skills
Professional DemeanorTeam CollaborationPatient Interaction
Tools & Technologies
FaxEmailScanning Equipment
Industry Keywords
Mental HealthHealthcareInsurance CommunicationCrisis ManagementClient Confidentiality
About the role
Key responsibilities & impact- Initiate prior authorization requests with insurance companies by submitting necessary documentation and medical records
- Follow up on prior authorization requests, provide additional information as required, and ensure timely medication approvals
- Communicate prior authorization status and insurance coverage information to patients, support staff, and providers
- Maintain accurate records of prior authorization requests and insurance communications
- Serve as a liaison between providers, patients, and insurance companies to facilitate communication and resolve issues
- Secure patient information and safeguard medical records
- Respond to verbal and electronic requests for information and assistance
- Maintain a safe, secure, and healthy work environment in compliance with legal regulations
- Demonstrate knowledge of emergency procedures and assist in crisis situations
- Maintain client HIPAA rights and confidentiality protections
- Handle documents promptly and accurately for filing and scanning
- Copy, scan, fax, and email information as required
- Complete other relevant responsibilities assigned by the supervisor
Requirements
What you’ll need- High school diploma or equivalent required
- At least one year of experience working in a medical office and/or mental health (preferred)
- Experience working with prior authorization on medications (preferred)
- Ability to maintain professional appearance and demeanor, and interface well with patients in a mental health setting (preferred)
- Excellent communication skills and ability to work well with a team
- Knowledge of medical terminology, insurance terminology, and billing practices
- Some experience in healthcare settings or insurance verification is highly desirable
- Knowledge of working in a clinical setting (preferred)
- Monday–Friday availability from 9am–1pm CST
- Part-time availability of 20 hours per week
Benefits
Comp & perks- Competitive compensation
- Flexible schedule
- In-person and virtual patient visits
- Comprehensive admin support (front office, accounting, finance, payroll, HR, etc)
- Professional development opportunities
- Clinical community, support, and leadership
- Medical, dental and vision benefits
- Life insurance
- Short and long-term disability
- Paid vacation and holidays
- Matching 401k plan
- State of the art technology