Pulmonary Medicine Associates (PMA) is seeking an Authorization Specialist for its Roseville clinic. The practice serves the greater Sacramento area and offers a busy, team-oriented environment across multiple specialties, including critical care, infectious disease, palliative care, pulmonology, pediatric pulmonology, and sleep medicine.
In this role, you will coordinate procedure scheduling, obtain and track insurance authorizations and referrals, verify benefits and eligibility, submit authorization requests, and follow up with payers to ensure timely approvals. You will maintain documentation in the electronic medical record, coordinate with outside facilities, communicate with patients about procedure details and insurance requirements, and help resolve issues that could delay patient care.
Qualifications
- High school diploma or GED
- Minimum of 2 years of related work experience in a medical environment preferred
- Knowledge of medical terminology
- Knowledge of medical billing procedures and HMO/PPO insurance programs
- Excellent phone etiquette and verbal communication skills
- Strong customer service skills and ability to build effective working relationships
- Strong attention to detail
- Ability to maintain confidentiality of sensitive information
- Ability to work independently and manage multiple priorities
- Ability to communicate clearly in person and by telephone
- Ability to type accurately at 45 WPM
- Valid California driver’s license and automobile insurance
- Ability to travel between clinics and run occasional errands
Benefits
- Competitive salary
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- LTD coverage
- PTO
- 401(k) with generous company match
Working Conditions
- Climate-controlled office environment
- Extended sitting
- Repetitive office and keyboarding tasks
Location
California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago