PCP Prior Authorization Specialist
Company: One Medical
Location: Tempe
Posted on: October 10, 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. --s-p-m1-- By
applying, you consent to your information being transmitted by
Monster to the Employer, as data controller, through the Employer's
data processor SonicJobs. See One Medical Terms & Conditions at
https://www.onemedical.com/code-business-conduct/?_gl=1*5nf2no*_ga*MTU4MTMxOTQ2OS4xNzEyNjcyMzkz*_ga_Y7SVGHS5RW*MTcxMjY3MjQwMS4xLjAuMTcxMjY3MjQwMS42MC4wLjA.
and Privacy Policy at
https://www.onemedical.com/privacy/?_gl=1*1f2p3ru*_ga*MTU4MTMxOTQ2OS4xNzEyNjcyMzkz*_ga_Y7SVGHS5RW*MTcxMjY3MjQwMS4xLjAuMTcxMjY3MjQwMS42MC4wLjA.
and SonicJobs Privacy Policy at
https://www.sonicjobs.com/us/privacy-policy and Terms of Use at
https://www.sonicjobs.com/us/terms-conditions
Keywords: One Medical, Sun City , PCP Prior Authorization Specialist, Other , Tempe, Arizona
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