Prior Authorization Coordinator

Pacific Sports and Spine • Full-time • Eugene, Oregon, United States • $38.03k - $48.36k / year • 3w ago

Job Summary: We are seeking a Per Diem (with the potential of moving to full time) experienced Prior Authorization Coordinator to join our administrative team. This roles is critical in ensuring timely and accurate processing of prior authorizations for medical procedures and services. The ideal candidate will have a strong understanding of healthcare payer requirements, medical terminology, and patient communication.

Overview: Pacific Sports and Spine is a leading provider of specialized care in sports medicine and spine health. We are dedicated to delivering high quality, patient centered care and are looking for team members who share our commitment to excellence.

Responsibilities

Review and process prior authorization requests for medical procedures, imaging, and treatments
Communicate with insurance companies to verify coverage and obtain approvals
Collaborate with providers and clinical staff to gather necessary documentation
Maintain accurate records and follow up on pending authorizations
Educate patients on authorization status and assist with questions related to coverage
Ensure compliance with payer guidelines and internal protocols

Qualifications

Minimum of three years’ experience in a healthcare setting, preferably in prior authorization or billing
Strong knowledge of medical terminology and insurance payer requirements
Familiarity with EMR/EHR systems and authorization platforms
Excellent communication and organizational skills
Ability to work independently and manage multiple tasks
High school diploma or equivalent required; additional healthcare certification is a plus

Benefits