Job Description

Lifekind Health is looking for a full-time Prior Authorization Specialist II to join our team to help facilitate communication among multidisciplinary teams ensuring that care delivery is seamless and efficient. Use strong communication skills to effectively liaise with healthcare providers and insurance representatives to gather necessary information and resolve authorization issues promptly. Assist in monitoring authorization trends and improving process efficiency contributing to better patient care outcomes.

Our mission is to bring care thats whole human and healing. Blending medical behavioral and lifestyle support into a single plan because restoring life takes more than a prescription.

At Lifekind Health we strive every day to live up to that definition by providing the best care possible for our complex patient population. Our team of medical doctors psychologists chiropractors acupuncturists and dietitians work together within a revolutionary transdisciplinary model that addresses the quadruple aim of healthcare: enhancing patient experience improving patient health reducing healthcare costs and increasing employee satisfaction. Learn more about us at .

About the position:

• Review and process prior authorization requests for prescription medications in accordance with insurance plan requirements and clinical guidelines
• Communicate effectively with healthcare providers pharmacists and insurance representatives to obtain necessary documentation and clarify prescription details
• Verify patient eligibility and prescription coverage to ensure compliance with payer policies and reduce claim denials
• Maintain detailed records of authorization requests approvals denials and appeals within electronic health record systems and other tracking tools
• Collaborate with internal teams to resolve authorization issues promptly and provide status updates to stakeholders
• Stay current with changes in insurance formularies coverage policies and healthcare regulations affecting prior authorization procedures
• Assist in training and mentoring junior staff members on prior authorization processes and best practices

Our Ideal Candidate will have the following qualifications:

• High school diploma or equivalent required; Associates or Bachelors degree preferred
• Minimum of 2 years experience in prior authorization or related healthcare administrative role
• Demonstrated knowledge of prescription coverage policies and insurance authorization procedures
• Proficiency with electronic health record (EHR) systems and healthcare software applications
• Strong communication skills to interact with healthcare providers insurance companies and patients
• Experience working within a health insurance company or pharmacy benefit management organization is a plus

Generous salary and benefits package includes :

• Medical dental and vision coverage options for you and eligible dependents
• Free basic Life/AD&D Short-Term and Long-Term Disability policies for those enrolled in medical plus additional voluntary coverage options
• 401(k) Retirement plan
• Medical and Dependent Care Flexible Spending Accounts
• Generous vacation sick and holiday benefits

Lifekind Health and Savas Software are an Equal Opportunity Employer. We value a diverse workforce and inclusive workplace. People of color people with disabilities and lesbian gay bisexual and transgender people are encouraged to apply. We consider all applicants without regard to race color ancestry religion gender gender identity gender expression national origin age disability socio-economic status marital or veteran status pregnancy status or sexual orientation.

Required Experience:

IC

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