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Health Information Specialist (Prior Authorization)

Pacific Neuropsychiatric SpecialistsIrvine, California

$22 - $24 / hour

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Overview

Schedule
Full-time
Career level
Entry-level
Remote
On-site
Compensation
$22-$24/hour
Benefits
Health Insurance
Dental Insurance
Vision Insurance

Job Description

Benefits:
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance
Job Summary:
We are seeking a motivated and like-minded Health Information Specialist. This is a full-time, in-office position. The Health Information Specialist will manage and maintain the accuracy, security, and privacy of electronic, and paper-based, medical records, manage data quality, and ensure compliance with legal and industry standards. This person will also be responsible for helping with our prior authorizations department by discussing medications, insurance, and prior authorization documents with patients, getting prior authorization approval from insurance companies, filing appeals, and ensuring completeness and accuracy on all prior authorizations. 
Key Responsibilities:
  •  Submitting requests to insurance companies, gathering necessary documents, completing forms and following up on the status of the requests.
  • Provide updates on the authorization, review requests for completeness and ensure all supporting documents are submitted to expedite approvals. 
  • Receive requests for prior authorizations and ensure that they are properly and closely monitored within company-set standards.
  • Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.
  • Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is completed.
  • Collaborate with other departments to assist in obtaining prior authorizations/appeals.
  • Document all interactions with insurance companies within the EMR system.
  • Proactively work on prior authorizations that are due to expire.
  • Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership.
  • Other duties as assigned. 
Required Skills and Qualifications:
  •  6+ months of Prior Authorization experience required 
  • Previous experience working in a medical/psychiatric facility is preferred.
  • Excellent communication skills, both written and oral.
  • Proficient telephone and computer skills.
  • Must be able to prioritize multiple tasks at once, and deal with high stress levels in an environment of changing priorities.
  • Must be able to interact with all levels of staffing professionally.
Compensation and Benefits:
  • PNS offers a competitive compensation package including; medical, dental, and paid time off for full time employees.
  • Hourly rate based on skill, experience and tenure of your profession.
Compensation: $22.00 - $24.00 per hour

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FAQs About Health Information Specialist (Prior Authorization) Jobs at Pacific Neuropsychiatric Specialists

What is the work location for this position at Pacific Neuropsychiatric Specialists?
This job at Pacific Neuropsychiatric Specialists is located in Irvine, California, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Pacific Neuropsychiatric Specialists?
Candidates can expect a pay range of $22–$24 per hour for this role.
What employment applies to this position at Pacific Neuropsychiatric Specialists?
Pacific Neuropsychiatric Specialists lists this role as a Full-time position.
What experience level is required for this role at Pacific Neuropsychiatric Specialists?
Pacific Neuropsychiatric Specialists is looking for a candidate with "Entry-level" experience level.
What benefits are offered by Pacific Neuropsychiatric Specialists for this role?
Pacific Neuropsychiatric Specialists offers following benefits: Health Insurance, Dental Insurance, Vision Insurance, and Paid Vacation for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Pacific Neuropsychiatric Specialists?
You can apply for this role at Pacific Neuropsychiatric Specialists either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.