Skip to main content
Tallo logoTallo logo

Find Jobs

Find Jobs Near You – Available Work in Your Location

Skip to job details
Apply for this opportunity

To apply for this job, you'll continue to an external website or email application.

Grace Health

Prior Authorization Specialist

Entry-Level JobVerifiedNo experience needed

Career Insights for Medical Claims Processor / Representative

See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.

Scorecard

Based on Michigan data

Review key factors to help you decide if this role fits your goals. How is this calculated?

Were these scores useful?

What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$45,511 / year median in Michigan

-7% projected decline

Explore Career

Job Description

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 weeks of PTO in the first year! Other perks include no nights or weekend work. $1,000 Sign-on bonus ($500 after successful completion of your probationary period and $500 after 6 months). Benefits Medical, vision, dental, life, and disability insurance 401K match 8 paid holidays Employee wellness program focusing on physical, mental, and financial wellness
EXAMPLES OF DUTIES
(This list may not be all inclusive.) Educates patients and staff about the process of medication prior authorizations. Processes medication prior authorization requests. Communicates with patients, Grace Health staff and other offices or health care agencies regarding medication prior authorization. Develops and maintains a tracking system for medication prior authorizations. Documents appropriate information in the medical record. Maintains current resources related to medication prior authorizations. May assist staff and patients with the managed care process.
Requirements:
1. High school Diploma or GED 2. Completion of Medical Terminology 3. Ambulatory and Pharmacy experience preferred 4. Certified Clinical Medical Assistant Preferred GH26