Physician Partners of America

  • Prior Authorization Coordinator

    Job Locations US-FL-Tampa | US-TX-Hurst
    Job ID
    2018-1959
    Category
    Healthcare & Medical
    Type
    Full-Time
  • Overview

    Prior Authorization Coordinator

    Physician Partners of America (PPOA) is an established and growing multidisciplinary integrated healthcare organization. We have multiple locations in both Texas and Florida with our corporate headquarters in Tampa, FL.

    We are looking for an experienced leader as an addition to our verifications team as the Prior Authorization Coordinator. We are seeking a team member that is hands-on, willing to jump into the work-flow and lead by example. As the team leader, you will be responsible for your team’s success; our expectations are superior customer service and timely completion of goals.

    Responsibilities

    • Handle a high volume environment with analytical problem-solving and prioritizing
    • Proccess prior authorizations on behalf of internal and external providers using EHR, CovermyMeds and all available resources
    • Communicate about the status of pending authorizations to providers and pharmacy staff
    • Update EHR charts with prior authorization outcomes
    • Process appeals and urgent prior authorizations in a timely manner
    • Effectively communicate with insurance companies, providers, and patients to obtain authorizations

    Qualifications

    • High school diploma / GED
    • Strong written and verbal communication skills, with special emphasis on effective telephone correspondence with a customer-first attitude.
    • Excellent problem solving skills, with a demonstrated ability to present organized solutions
    • Ability to work with minimal supervision and maintain courteous and professional composure during stressful situations
    • Relevant healthcare knowledge including coding terms, diagnosis coding, HMO,  Medicare, PPO, and Workers Compensation claims 

    PPOA celebrates and supports diversity and is proud to be an Equal Opportunity Employer. PPOA performs criminal background checks and pre-employment drug screens.

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