The Prior Authorization Specialist is responsible for efficiently working accounts receivable for the organization, while maintaining customer service. This position will focus on obtaining prior authorization for procedures.

This is a temporary remote position working 10-12 hours per week, March thru July 2025.

Luong Plastic Surgery is an operating division of Infinite Health Collaborative (i-Health), a group of local medical practices, owned and led by its physicians, on a mission to give patients more control over their healthcare.

Essential Functions:

Coordinates and processes medical prior authorizations for surgical/procedures by reviewing insurance and submitting information needed for coverage Able to triage incoming calls and requests form provider groups/patient for authorization of services, questions, status updates Ensure professional communication with patients, clinic personnel, and outside vendors whether over the phone, via email or other written documentation and respond to all inquiries Maintain a working knowledge of health care plan requirements and health plan networks Verify and document insurance information as defined by current business practices Accurately post all payments received from patients.

Education and Experience Requirements:

High School diploma/GED or equivalent Customer service experience Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferred. Medicare experience strongly preferred. Insurance knowledge in commercial, work comp, and government payers required

Benefits & Compensation:

Actual starting pay will vary based on education, skills, and experience.  We offer a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts - to learn more click here.

Essential Requirements:

Ability to:

Comply with company policies, procedures, practices and business ethics guidelines. Complete job required training. Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.) Demonstrate prompt and reliable attendance Work in the clinic, office or surgery center during business hours Travel independently throughout the clinic, office or surgery center (which may include movement from floor to floor); frequent bending, lifting, standing, stooping or sitting for long periods of time may be required Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines Communicate and interact in a respectful and professional manner Prioritize workload while being flexible to meet the expectations of the daily operations Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions Understand and execute a variety of instructions Effectively operate equipment and communicate on and operate the phone system Work independently with minimal supervision Travel to other work locations, if required

Performance Expectations – i-Health’s Core Values:

Integrity - Do the right thing and take responsibility for what you do and say. Service - Consistently contribute to deliver an exceptional experience. Quality - Act with high purpose, committed effort, and skillful execution to exceed expectations. Innovation - Identify progressive solutions that improve service, teamwork, efficiency, and/or effectiveness. Teamwork - Be a part of the whole; support each other positively.

Notes:

i-Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008. We participate in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here:  http://www.uscis.gov/e-verify/employees This position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.