Prior Authorization Specialist
4 weeks ago
At MEDvidi, we are revolutionizing mental health care by making it more accessible and affordable across the United States. Our mission is to eliminate barriers to mental health support, ensuring that everyone can access the care they need.
As a Prior Authorization Specialist within our company, you will play a crucial role in completing the Prior Authorization requests. Your primary responsibilities will include the completion of daily tasks, resolving issues, and managing projects assigned by your lead or Manager. Your leadership skills and expertise in prior authorization operations will contribute to the overall efficiency and success of the team. The goal is to achieve excellent performance that will bring sustainable business growth.
Responsibilities- Submit, track, and follow up on prior authorization requests for medications.
- Ensure all requests meet insurance requirements before submission.
- Request necessary documentation from providers (chart notes, prescriptions).
- Coordinate with pharmacies and providers to ensure prior authorizations are processed in a timely manner.
- Submit PA requests via Cover My Meds, fax, or phone.
- Provide supporting clinical notes as required to the insurance company.
- Follow up on pending requests to prevent delays.
- Review denial reasons and gather additional documentation.
- Resubmit or appeal requests when appropriate.
- Document all interactions, requests, approvals, and denials in the CRM.
- Update patients on PA status when needed.
- Educate patients about expected timelines, insurance requirements, and alternative options if coverage is denied.
- Follow HIPAA guidelines to protect patient information.
- Experience working in a healthcare setting, pharmacy, or with medical insurance.
- Working knowledge of HIPAA rules and regulations.
- Familiarity with insurance plans, coverage, and benefits.
- Understanding of diagnoses and medications.
- Experience with electronic health records and Cover My Meds.
- Ability to speak with providers, insurance companies, and pharmacies professionally.
Creating a diverse and inclusive workplace is one of MEDvidi's core values. We are an equal opportunity employer and welcome people of different backgrounds, experiences, abilities and perspectives.
If you have a relevant skill set and want to start your career with the fast-growing development team, this is for you. Please visit our website at www.medvidi.com for information about our services. If interested in joining our team, please email or apply to the position. We hope to hear from you soon
#J-18808-Ljbffr
-
Prior Authorization Specialist
3 days ago
Lahore, Punjab, Pakistan Physicians Revenue Group Full time 900,000 - 1,200,000 per yearLocation: Johar Town, LahoreShift: Night (Full-time, On-site Only)Position: Prior Authorization SpecialistWe are urgently hiring a Prior Authorization Specialist to join our medical billing team. The candidate must have practical experience in obtaining insurance authorizations for medical procedures and medications.Key Responsibilities:Obtain and manage...
-
Prior Authorization Specialist
2 weeks ago
Lahore, Punjab, Pakistan Blue Health Full time 900,000 - 1,200,000 per yearBlue Health is seeking aPrior Authorization Specialist(also known as Clinical Authorization Coordinator, Pre-Certification Specialist, or Utilization Management Specialist) with amedical or allied health science background(non-clinical role) to support our prior authorization process. This role requires applying clinical knowledge to review, evaluate, and...
-
Prior Authorization Specialist
2 weeks ago
Lahore, Punjab, Pakistan MEDvidi Full time $104,000 - $130,878 per yearAtMEDvidi, we are revolutionizing mental health care by making it more accessible and affordable across the United States. Our mission is to eliminate barriers to mental health support, ensuring that everyone can access the care they need.As aPrior Authorization Specialistwithin our company, you will play a crucial role in completing the Prior Authorization...
-
Prior Authorization Specialist
7 days ago
Lahore, Punjab, Pakistan Blue Health Full time 900,000 - 1,200,000 per yearBlue Health is seeking aPrior Authorization Specialist(also known asClinical Authorization Coordinator) with amedical or allied health science backgroundfor anon-clinical rolesupporting ourprior authorization process. This position combines healthcare expertise with cutting-edge technology and offers a dynamic, innovation-driven environment modeled on US...
-
Lahore, Punjab, Pakistan HRMD Solutions Full time 840,000 - 1,200,000 per yearLocation: Gulberg 3, LahoreShift: Night (Full-time, On-site Only)Salary: Rs. 70,000 – Rs. 100,000/monthIMPORTANT: Please read before applying ONLY candidates with prior experience in Prior Authorization or Medical Billing will be considered. Applicants without relevant healthcare experience (e.g., teaching, engineering, IT, sales, etc.) will be...
-
Prior Authorization Specialist – Medical Billing
2 weeks ago
Lahore, Punjab, Pakistan HRMD Solutions Full time 900,000 - 1,200,000 per yearLocation: Gulberg 3, LahoreShift: Night (Full-time, On-site Only)Salary: Rs. 70,000 – Rs. 100,000/monthStart Date: ASAPIMPORTANT: Please read before applying ONLY candidates with prior experience in Prior Authorization or Medical Billing will be considered. Applicants without relevant healthcare experience (e.g., teaching, engineering, IT, sales, etc.)...
-
Authorization Specialist
2 weeks ago
Lahore, Punjab, Pakistan Hawk Revenue Group Pakistan Full time 400,000 - 600,000 per yearRole DescriptionThis is a full-time on-site role for anPrior Authorization Specialist– Responsible for managing insurance verifications, obtaining prior approvals, and working closely with providers and payers to prevent denials. Experience in RCM/authorizations requiredQualificationsExperience in managing insurance verifications, obtaining prior...
-
Medical Insurance Authorization
2 weeks ago
Lahore, Punjab, Pakistan Ali Enterprise Full time 1,440,000 - 1,800,000 per yearThe Medical Insurance Authorization Department is responsible for ensuring that all medical services requiring pre-approval are authorized by insurance providers before being rendered. This role plays a critical part in streamlining patient care by verifying coverage, securing approvals, and managing communication between providers, patients, and insurance...
-
Authorization Specialist
5 days ago
Lahore, Punjab, Pakistan Healthrix Full time ₹840,000 per yearCheck patient eligibility and completes patient insurance benefit verification.Able to understand the cost estimators and patient responsibilities.Obtain and verify insurance authorizations for procedures.Able to get the PCP office's aaprovals.Review patient medical records and documentation to ennsure accuracy of the authorizations.Track and document...
-
Dental Insurance Verification Specialist
3 days ago
Lahore, Punjab, Pakistan Precision Billing Solutions Full time 900,000 - 1,200,000 per yearCompany DescriptionAt Precision Billing Solutions, we specialize in delivering accurate, transparent, and performance-driven billing services for dental and healthcare practices. With a strong focus on reliability and measurable results, we help providers streamline their revenue cycle, minimize claim denials, and improve cash flow, so they can focus on...
