PCP Prior Authorization Specialist
Company: One Medical
Location: Tempe
Posted on: October 17, 2024
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Job Description:
About Us
One Medical is a primary care solution challenging the industry
status quo by making quality care more affordable, accessible and
enjoyable. But this isn't your average doctor's office. We're on a
mission to transform healthcare, which means improving the
experience for everyone involved - from patients and providers to
employers and health networks. Our seamless in-office and 24/7
virtual care services, on-site labs, and programs for preventive
care, chronic care management, common illnesses and mental health
concerns have been delighting people for the past fifteen
years.
In February 2023 we marked a milestone when One Medical joined
Amazon. Together, we look to deliver exceptional health care to
more consumers, employers, care team members, and health networks
to achieve better health outcomes. As we continue to grow and seek
to impact more lives, we're building a diverse, driven and
empathetic team, while working hard to cultivate an environment
where everyone can thrive.
The Opportunity: -
Being part of the One Medical centralize team is a dynamic
workspace, powered by teams who are passionate about the One
Medical Mission, providing world class service experiences for
patients, and who are never satisfied with the status quo. Our
teams thrive while handling high volume tasks, and are always
evaluating their work through the lens of process improvement
through continuous learning and experimentation. - As an Advanced
Tasking team member, you'll be a part of a specialized team,
skilled in complex tasking.
Finally, in an effort to promote continuous learning and discovery,
you'll be expected to motivate your team members to analyze their
work closely, ask questions and seek out more efficient processes
and opportunities for elevation through process improvement work,
using lean tools and methodologies. This role supports patients
nationwide. -
There are 3 categories of Advanced Tasking: -
Complex Tasking
Consult Orders (Specialist Office Visits)Procedure Orders (Ex:
MRI/CTs, Radiology, DME, Mammogram, etc.)Prescription Authorization
(Ex: High Cost Specialty Medications)Provider Support Room (Ex:
Clinically Urgent Tasks for IOPs/VMT Providers)
Sexual Reproductive Health - assisting a patient through the
authorization, scheduling and coordination of complex female health
procedures. (Ex. Colposcopy)
What you'll likely work on:
Maintaining service level agreements in complex insurance
authorizations.
Meeting or exceeding performance requirements for 6 months minimum
(200+ Tasks/week).
What you'll need:
At least 2 years of experience completing referrals and navigating
complex insurance portals and highly complex orders -
Experience working in a highly productive department with strong
metrics accountability/ownership
Positive, collaborative attitude and high team engagement with an
action-oriented mindset. -
Working in a national market/healthcare organization that
understands complexity of regions -
Experience with working with different EMRs -
Experience with working remotely preferred - -
Benefits designed to aid your health and wellness:
Taking care of you today
Employee Assistance Program - Free confidential advice for team
members who need help with stress, anxiety, financial planning, and
legal issues
Competitive Medical, Dental and Vision plans
Free One Medical memberships for yourself, your friends and
family
Pre-Tax commuter benefits
PTO cash outs - Option to cash out up to 40 accrued hours per
year
Competitive salary: the base pay for this position is $24.00 per
hour based on a full time schedule
Protecting your future for you and your family
401K match
Opportunity to participate in company equity programs
Credit towards emergency childcare
Extra contributions toward maternity and paternity leave
Paid Life Insurance - One Medical pays 100% of the cost of Basic
Life Insurance
Disability insurance - One Medical pays 100% of the cost of Short
Term and Long Term Disability Insurance
This is a full-time hourly role, with flexible shift needs that may
include nights and weekends. The role is in-person in our office in
Tempe, AZ. -
Physical Demands: - Mostly sedentary work duties require exerting
up to ten pounds of force occasionally and/or small amounts of
force frequently. Sedentary work typically involves sitting most of
the time, but may involve walking or standing for brief periods.One
Medical is an equal opportunity employer, and we encourage
qualified applicants of every background, ability, and life
experience to contact us about appropriate employment
opportunities.
One Medical participates in E-Verify and will provide the federal
government with your Form I-9 information to confirm that you are
authorized to work in the U.S. - Please refer to the E-Verification
Poster (English/Spanish) and Right to Work Poster (English/Spanish)
for additional information.
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Keywords: One Medical, Oro Valley , PCP Prior Authorization Specialist, Other , Tempe, Arizona
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