Company: VirtueStaff
Job Title: Medical Prior Authorization Specialist
Location: Remote (Work from Home)
Wage: $5 USD - $10 USD / hr
Schedule: 20-40 hrs/week
VirtueStaff is seeking an organized and detail-oriented Medical Prior Authorization Specialist to join our growing team. In this role, you will be responsible for obtaining prior authorizations for medical procedures, tests, and medications from insurance companies, ensuring that patients receive the care they need in a timely manner. This position is an excellent opportunity for individuals with experience in healthcare administration, insurance, or medical billing.
Responsibilities Review insurance policies and guidelines to determine prior authorization requirements Obtain necessary documentation and clinical information from healthcare providers Communicate effectively with insurance companies to secure authorizations Track and follow up on authorization requests and communicate status updates to providers and patients Maintain accurate records of authorization requests and denials Coordinate with medical staff to ensure compliance with insurance requirements Educate patients and providers about the prior authorization process and requirements Stay updated on changes in insurance regulations and policies that affect prior authorization Proven experience in healthcare administration, medical billing, or related field Experience with Modernizing Medicine EMR/EHR Knowledge of insurance policies, medical terminology, and prior authorization processes Strong organizational skills and attention to detail Excellent communication skills, both written and verbal Ability to manage multiple authorization requests simultaneously Proficiency in using electronic health records (EHR) and insurance software Strong problem-solving skills and ability to work effectively under pressure Ability to work independently and collaboratively in a remote setting Commitment to maintaining patient confidentiality and adhering to HIPAA regulations Work From Home Performance Bonus