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Clinical Prior Authorization Specialist

Job Description - Clinical Prior Authorization Specialist

Job Type: PT30 


Pay: from $17ph


Location: Rochester Hills, MI


Some of the Responsibilities



  • Obtain prior-authorization for medications, including specialty and Hepatitis B & C medications.

  • Obtain prior-authorization for radiology, CT/US Guided biopsies, Paracentesis and Capsule Endoscopies.

  • Schedule, review and mail instructions and medications needed for specialty procedures.

  • Prepare orders for CT/US Guided Biopsies, Paracentesis, Pelvic Floor Therapy, Speech Therapy, Therapeutic Phlebotomy, Blood Transfusion and fax to facility.

  • Arrange and perform teachings for fecal transplant patients.

  • Arrange and seek prior-authorization for Home Care.


What we are looking for



  • Strong knowledge of medical terminology

  • Demonstrated computer skills for documenting patient care in an electronic medical record

  • Ability to communicate effectively in person, on the telephone, and in writing

  • Ability to work independently and as a team

  • Ability to read and comprehend patient medical charts, medical terminology, prescription medications, and physician messages

  • Ability to multi-task


What we offer



  • A professional work environment where you can learn, enhance your skills and grow in new opportunities.

  • Competitive pay rates

  • A generous paid time of package prorated from your start date to the end of the year.

  • paid holidays with 2 bonus paid floating holidays ea. year

  • Life & Disability benefits

  • 401k retirement plan with company match


Pinnacle GI Partners is an equal opportunity employer. We participate in E-Verify for residency verification after hire. To learn more about our company please visit https://pinnaclegipartners.com. Apply today and let's be partners in success!

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