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
• Assists 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