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Prior Authorization Specialist - Gastonia, United States - Kintegra Health
Description
Job Description
Job DescriptionOverview
We are looking for a Prior Authorization Specialist to join our family. Under the direct supervision of the Prior Authorization Supervisor/Customer Care Manager, the Prior Authorization Specialist is responsible for obtaining pre-authorizations for medications and diagnostics testing, scheduling patients for outpatient testing and coordinating patient orders.
Candidate qualifications:
Licensure/Certification: None
Education: High School Diploma Required
Experience: Previous experience in a clinic setting preferred.
Knowledge/Skills: Must have excellent verbal and written communication skills. Requires effective customer relation skills, ability to organize and interpret data. Requires good judgment, tact, diplomacy, and ability to problem solve. Able to work effectively in a team environment. Able to use a personal computer and related software.
*** Bilingual (English/Spanish) preferred. ***
Minimum Qualifications: Must be able to sit, stand and walk for long periods of time. Able to read and understand the English language. Able to effectively maintain confidentiality of records and communicate with all levels of personnel.
Job Responsibilities:
Benefits:
• Monday through Friday
• Health Insurance
• Dental Benefits
• 403B Retirement Plan
• 403B Retirement Matching
• Paid Time Off
• Holiday Pay
• Long Term Disability
• Life Insurance
• Optional Benefits
• Employee Assistance Program
• Flexible Spending Accounts
Kintegra Health Core Requirements
1. Patient First – An approach to care that holds primary, the well-being and desires of the patient
2. Build not Blame – Focusing first on finding fault with the process rather than the person
3. Integrity and Honesty – Fostering an acceptance of openness, honesty, and fairness in words, deeds and the use of organizational resources judiciously for both internal and external customers
4. Cooperation and Flexibility – Related to an internal believe that we function as part of an interdependent team with only shared gains or losses thereby committed to assisting whenever possible beyond the prerequisite job description
5. Culturally Sensitive – Always working toward increasing one's ability to understand, communicate with, effectively interact and care for people across cultures, while having an acute awareness of one's own culture.
We are an equal opportunity employer and value diversity.
