Remote Prior Authorization Jobs in Grayson, KY (NOW HIRING)

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to grow, thrive, and contribute to our community.
Job Description:
Job Summary
Responsible for providing direct patient care and clinical support to providers in an outpatient clinic setting. Obtains patient medical histories, expedites patient flow, rooms patients, and stocks clinic with necessary supplies. Navigates electronic health record systems, schedules and follows up on appointments, and assists with medication requests, prior authorizations, and scheduling tests, procedures, and consults. Communicates respectfully with pharmacies, insurance companies, patients, and physicians while upholding service excellence standards. Supports both clinical and administrative functions to ensure efficient and patient care.
Essential Functions
• Checks in and checks out patients, schedules tests and procedures, and verifies insurance coverage and authorizations.
• Prepares charts, enters charges, completes required paperwork, and maintains accurate medical records and documentation.
• Performs medical necessity checks, gathers and records health history, vital signs, and other pertinent data.
• Responds to patient phone calls, documents requests, and communicates with clinical staff and providers as needed.
• Provides basic patient care, performs point-of-care skills and clinical procedures within certification, and administers medications.
• Demonstrates service excellence, maintains patient privacy, and engages in patient and employee satisfaction initiatives.
• Works efficiently, prioritizes tasks, improves workflow, and collaborates within the interdisciplinary team.
• Assumes responsibility for professional development, completes required competencies, maintains certifications, and serves as a preceptor for new staff.
• Adheres to infection control, safety, and confidentiality guidelines, and supports wellness through patient/family education.
• Performs other duties as assigned.
Education Requirement
High school diploma or equivalent and vocational/technical training in a designated technical area
Experience Requirement
0-2 years of experience in a healthcare, clinical setting, or a relevant area
An equivalent combination of education and experience may be considered.
All experience must be paid and in the same related field.
Part-time and PRN experience will be prorated based on hours worked per week.
Volunteer work and internships for academic credit are not counted.
Certifications & Licensures
Certified Clinical Medical Assistant (CCMA), Registered Medical Assistant (RMA), National Certified Medical Assistant (NCMA), Basic Life Support (BLS)
Working Conditions
A. Lifting, pushing, and/or pulling objects up to 50lbs: 3. Intermittent (10% - 50% of the time)
B. Lifting, pushing, and/or pulling objects over 50lbs: 2. Occasional (< 10% of the time)
C. Standing or walking with objects up to 10lbs: 4. Regular (> 50% of the time)
D. Standing or walking with objects up to 25lbs: 3. Intermittent (10% - 50% of the time)
E. Sitting at computer workstation for extended periods: 2. Occasional (< 10% of the time)
F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 3. Intermittent (10% - 50% of the time)
G. Repetitive motion: 3. Intermittent (10% - 50% of the time)
H. Working at heights above 4 feet: 1. Never
I. Working in confined spaces: 1. Never
J. Risk of injuries from use of equipment on the job: 3. Intermittent (10% - 50% of the time)
K. Job-related travel: 2. Occasional (< 10% of the time)
L. Loud noises: 2. Occasional (< 10% of the time)
M. Temperature extremes: 2. Occasional (< 10% of the time)
N. Hazardous chemicals and fumes including waste: 2. Occasional (< 10% of the time)
O. Radiation: 1. Never
P. Burns: 1. Never
Q. Cuts/Punctures: 3. Intermittent (10% - 50% of the time)
R. Bloodborne/airborne pathogens: 3. Intermittent (10% - 50% of the time)
S. Recombinant DNA or viral vectors: 1. Never
T. Combative/violent people: 2. Occasional (< 10% of the time)
U. Animal handling (including carcasses): 1. Never
V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A
Physical Demands
This position requires regular standing or walking with objects up to 10 pounds; intermittent standing or walking with objects up to 25 pounds; intermittent lifting, pushing, and/or pulling objects up to 50 pounds; and occasional lifting, pushing, and/or pulling objects over 50 pounds. Also involves occasional sitting at a computer workstation for extended periods of time; performing tasks with intermittent repetitive motions; intermittent risk of back injury from moving, lifting, or positioning patients, equipment, or materials; intermittent risk of injuries from use of equipment; job-related travel; occasional exposure to loud noises, temperature extremes, and hazardous chemicals and fumes including waste; intermittent exposure to cuts or punctures and bloodborne or airborne pathogens; and occasional interaction with combative or violent people.
Additional Job Descriptions
N/A
Department:
KDIP FAC UK Multispec Med Pl B
Shift:
Day (United States of America)
Address:
2201 Lexington Avenue
City, State:
Ashland, Kentucky