Prior Authorization Tech

Overview Join our team as a day shift, full-time, Prior Authorization Tech in Albuquerque, NM. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better • Thrive: We empower our team with career growth opportunities, tuition assistance , and resources that support your wellness, education, and financial well-being. • People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for. • Make Healthcare Better: We use advanced technology to support our team and enhance patient care. Get to Know Your Team: • Lovelace Medical Group is a multispecialty provider group of over 300 providers, including physicians and advanced practice providers serving a broad range of specialties and primary care. Responsibilities • Provides telephone triage, data entry and assistance to the Health Services Department in order to ensure quality customer service and exceptional quality management • Receives, screens, manages, resolves and/or transfers calls • A ssists callers with questions and concerns • Adheres to policies, procedures and regulations to ensure compliance and patient safety • Enters authorizations and recertification requests with accuracy to include eligibility, provider status, and benefit interpretations. Qualifications Job Requirements • High School Diploma or GED • Two (2) years of experience in direct patient care at a medical office or facility • Computer training (Word/Excel), Medical Terminology, working knowledge of CPT, HCPC, ICD-9 codes, and ACD telephone system Preferred Job Requirements • Medical Assistant Certification • Five (5) years of experience in direct patient care at a medical office or facility • Provides telephone triage, data entry and assistance to the Health Services Department in order to ensure quality customer service and exceptional quality management • Receives, screens, manages, resolves and/or transfers calls • A ssists callers with questions and concerns • Adheres to policies, procedures and regulations to ensure compliance and patient safety • Enters authorizations and recertification requests with accuracy to include eligibility, provider status, and benefit interpretations. Job Requirements • High School Diploma or GED • Two (2) years of experience in direct patient care at a medical office or facility • Computer training (Word/Excel), Medical Terminology, working knowledge of CPT, HCPC, ICD-9 codes, and ACD telephone system Preferred Job Requirements • Medical Assistant Certification • Five (5) years of experience in direct patient care at a medical office or facility